Unknown Individual – Clinical Social Worker, NPI 1639185382

Unknown Individual is a healthcare provider. based in Caribou, Maine. specializing in Clinical Social Worker. They hold a License No. 6801086877 (MI). The NPI Number for Unknown Individual is 1639185382

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1639185382
Phone
(207) 498-8785
Address
163 Van Buren Rd
Deactivation Date
11 January 2023
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

  • 163 Van Buren Rd

    Suite 6

    Caribou, ME 047363567

    Phone: (207) 498-8785

    Type: Location

  • Oscar G. Johnson Veterans Affairs Medical Center, 325, East H Street, Iron Mountain, Dickinson County, Michigan, 49801, United States

    IRON MOUNTAIN, MI 498014760

    Phone: (906) 774-3300

    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 04736)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1639185382.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Clinical Social Worker is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Caribou, Maine in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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