Unknown Individual – Clinical Social Worker, NPI 1053356832

Unknown Individual is a healthcare provider. based in Stone mountain, Georgia. specializing in Clinical Social Worker. They hold a License No. CSW003144 (GA). The NPI Number for Unknown Individual is 1053356832

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1053356832
Phone
(404) 296-3800
Address
5405 MEMORIAL DR
Deactivation Date
30 August 2023
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

  • Memorial Drive, Stone Mill Run, Tucker, DeKalb County, Georgia, 80083, United States

    BLDG D

    STONE MOUNTAIN, GA 300833234

    Phone: (404) 296-3800

    Fax: (404) 297-8753

    Mailing address matches the actual address.

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 30083)

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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 1053356832.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Stone Mountain, Georgia?
If you are local to Stone Mountain, Georgia, Unknown Individual may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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