Unknown Individual – Clinical Social Worker, NPI 1700953411

Unknown Individual is a healthcare provider. based in Fort gordon, Georgia. specializing in Clinical Social Worker. They hold a License No. LCSW 1360 (GA). The NPI Number for Unknown Individual is 1700953411

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1700953411
Phone
(706) 787-1583
Address
41ST STREET, BUILDING 40709
Deactivation Date
15 February 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 41ST STREET, BUILDING 40709

    ROOM 111

    FORT GORDON, GA 30905

    Phone: (706) 787-1583

    Fax: (706) 787-1099

    Type: Location

  • 214, Taft Drive, Ashton Woods, Idylwilde, Evans, Columbia County, Georgia, 30809, United States

    EVANS, GA 308093037

    Phone: (706) 860-6775

    Type: Mailing

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 30905)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1700953411; it appears in the national provider directory.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What kind of provider is Unknown Individual?
The page reflects Clinical Social Worker for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Fort Gordon, Georgia because that is what the record indicates for Unknown Individual.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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