Unknown Individual – Clinical Social Worker, NPI 1023123577

Unknown Individual is a healthcare provider. based in Medford, Massachusetts. specializing in Clinical Social Worker. They hold a License No. 1026025 (MA). The NPI Number for Unknown Individual is 1023123577

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1023123577
Phone
(781) 396-1199
Address
151 MYSTIC AVE
Deactivation Date
26 April 2022
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

  • 151, Mystic Avenue, Medford, Middlesex County, Massachusetts, 02155, United States

    MEDFORD, MA 021554632

    Phone: (781) 396-1199

    Fax: (781) 396-1439

    Type: Location

  • 76, Wilson Road, Little Nahant, Nahant, Essex County, Massachusetts, 01908, United States

    NAHANT, MA 019081038

    Phone: (781) 581-5479

    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.

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 02155)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1023123577.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Medford, Massachusetts in registry-derived data.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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