Unknown Individual – Clinical Social Worker, NPI 1366447724

Unknown Individual is a healthcare provider. based in Frederick, Maryland. specializing in Clinical Social Worker. They hold a License No. 06971 (MD). The NPI Number for Unknown Individual is 1366447724

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1366447724
Phone
(301) 695-8390
Address
170 THOMAS JOHNSON DR
Deactivation Date
24 August 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

  • 170, Thomas Johnson Drive, Wormans Mill, Frederick, Frederick County, Maryland, 21702, United States

    STE 200

    FREDERICK, MD 217026200

    Phone: (301) 695-8390

    Fax: (301) 694-7906

    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.

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 21702)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1366447724 — the number used across U.S. healthcare to identify this provider.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Frederick?
Public fields place Unknown Individual around Frederick, Maryland. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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