Unknown Individual – Clinical Social Worker, NPI 1124236039

Unknown Individual is a healthcare provider. based in Shrewsbury, Massachusetts. specializing in Clinical Social Worker. They hold a License No. 2022797 (MA). The NPI Number for Unknown Individual is 1124236039

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124236039
Phone
(508) 856-4202
Address
214 LAKE ST
Deactivation Date
16 June 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

  • 214, Lake Street, South Shrewsbury, Shrewsbury, Worcester County, Massachusetts, 01545, United States

    CHILD DEVELOPMENT CENTER

    SHREWSBURY, MA 015453960

    Phone: (508) 856-4202

    Fax: (508) 845-2783

    Type: Location

  • 67, Flagg Road, Southborough, Worcester County, Massachusetts, 01772, United States

    SOUTHBOROUGH, MA 017721420

    Phone: (508) 624-0994

    Fax: (508) 845-2783

    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.

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 01545)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1124236039 for Unknown Individual.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Shrewsbury, Massachusetts in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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