Unknown Individual – Clinical Social Worker, NPI 1447455001

Unknown Individual is a healthcare provider. based in Douglasville, Georgia. specializing in Clinical Social Worker. They hold a License No. CSW003665 (GA). The NPI Number for Unknown Individual is 1447455001

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1447455001
Phone
(404) 312-1521
Address
4217 LOST SPRINGS TRL
Deactivation Date
14 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

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Provider Addresses for Unknown Individual

  • 4217 LOST SPRINGS TRL

    DOUGLASVILLE, GA 301358666

    Phone: (404) 312-1521

    Fax: (404) 745-8749

    Type: Mailing

  • 1105, West Peachtree Street Northwest, Atlanta, Fulton County, Georgia, 30309, United States

    ATLANTA, GA 303093608

    Phone: (404) 312-1521

    Fax: (404) 745-8749

    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 30135)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1447455001 in the public NPI dataset.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Douglasville, Georgia in our summary view.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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