Unknown Individual – Clinical Social Worker, NPI 1457473753

Unknown Individual is a healthcare provider. based in Kennesaw, Georgia. specializing in Clinical Social Worker. They hold a License No. CSW002954 (GA). The NPI Number for Unknown Individual is 1457473753

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1457473753
Phone
(770) 420-1408
Address
4286 W MILL RUN NW
Deactivation Date
21 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

  • 4286 W MILL RUN NW

    KENNESAW, GA 301525410

    Phone: (770) 420-1408

    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 30152)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1457473753?
NPI 1457473753 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Kennesaw?
Public fields place Unknown Individual around Kennesaw, Georgia. Always confirm the exact site before visiting.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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