Unknown Individual – Clinical Social Worker, NPI 1104836964

Unknown Individual is a healthcare provider. based in Pittsfield, Massachusetts. specializing in Clinical Social Worker. They hold a License No. 100872 (MA). The NPI Number for Unknown Individual is 1104836964

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104836964
Phone
(413) 447-2039
Address
725 NORTH STREET
Deactivation Date
16 March 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

  • Berkshire Medical Center, 725, North Street, Pittsfield, Berkshire County, Massachusetts, 01201, United States

    DEPARTMENT OF PSYCHIATRY PCOT

    PITTSFIELD, MA 01201

    Phone: (413) 447-2039

    Fax: (413) 447-2176

    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 01201)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1104836964.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Pittsfield, Massachusetts; more addresses can appear in NPPES.
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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