Unknown Individual – Clinical Social Worker, NPI 1861493512

Unknown Individual is a healthcare provider. based in Fort pierce, Florida. specializing in Clinical Social Worker. They hold a License No. SW0000288 (FL). The NPI Number for Unknown Individual is 1861493512

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1861493512
Phone
(772) 464-2489
Address
4103 S INDIAN RIVER DR
Deactivation Date
31 July 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 4103, South Indian River Drive, Fort Pierce, St. Lucie County, Florida, 34982, United States

    FORT PIERCE, FL 349827766

    Phone: (772) 464-2489

    Fax: (772) 461-3782

    Type: Mailing

  • 496, Maple Avenue, Fort Pierce, St. Lucie County, Florida, 34982, United States

    FORT PIERCE, FL 349825949

    Phone: (772) 464-2489

    Fax: (772) 461-3782

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34982)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1861493512.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Fort Pierce, Florida in the same public data insurers reference.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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