Unknown Individual – Clinical Social Worker, NPI 1174605018

Unknown Individual is a healthcare provider. based in Roswell, Georgia. specializing in Clinical Social Worker. They hold a License No. CSW001541 (GA). The NPI Number for Unknown Individual is 1174605018

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1174605018
Phone
(770) 993-7715
Address
295 W CROSSVILLE RD
Deactivation Date
31 August 2022
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

  • 295, West Crossville Road, Sterling Crossville Townhomes, Roswell, Fulton, Georgia, 30075, United States

    SUITE 740

    ROSWELL, GA 300756231

    Phone: (770) 993-7715

    Fax: (678) 205-0434

    Type: Mailing

  • 295, West Crossville Road, Sterling Crossville Townhomes, Roswell, Fulton County, Georgia, 30075, United States

    SUITE 740

    ROSWELL, GA 300756231

    Phone: (770) 993-7715

    Fax: (678) 205-0434

    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 30075)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1174605018 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Roswell, Georgia; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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