Unknown Individual – Clinical Social Worker, NPI 1194865709

Unknown Individual is a healthcare provider. based in Kennesaw, Georgia. specializing in Clinical Social Worker. They hold a License No. #310 (GA). The NPI Number for Unknown Individual is 1194865709

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1194865709
Phone
(770) 362-2663
Address
209 FAY DRIVE, N.W.
Deactivation Date
21 July 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:0State licenses:4Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 209 FAY DRIVE, N.W.

    KENNESAW, GA 30144

    Phone: (770) 362-2663

    Fax: (770) 926-9838

    Type: Mailing

  • 1301 SHILOH ROAD, N.W.

    #840

    KENNESAW, GA 30144

    Phone: (770) 362-2663

    Fax: (770) 926-9838

    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.

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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.

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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 30144)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1194865709.
Should I call the clinic if Unknown Individual is inactive here?
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.
Can patients visit Unknown Individual in Kennesaw, Georgia?
For routing, start with Kennesaw, Georgia for Unknown Individual, then verify phone and hours locally.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.