Unknown Individual – Clinical Social Worker, NPI 1386665420

Unknown Individual is a healthcare provider. based in Stone mountain, Georgia. specializing in Clinical Social Worker. They hold a License No. CSW001170 (GA). The NPI Number for Unknown Individual is 1386665420

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1386665420
Phone
(770) 879-7267
Address
273 WINDING WATERS CT
Deactivation Date
18 June 2021
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

Provider Addresses for Unknown Individual

  • 273 WINDING WATERS CT

    STONE MOUNTAIN, GA 300876327

    Phone: (770) 879-7267

    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.

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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 30087)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1386665420?
NPI 1386665420 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Georgia is Unknown Individual registered?
Use Stone Mountain, Georgia as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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