Unknown Individual – Clinical Social Worker, NPI 1649223967

Unknown Individual is a healthcare provider. based in Boston, Massachusetts. specializing in Clinical Social Worker. They hold a License No. 103167 (MA). The NPI Number for Unknown Individual is 1649223967

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1649223967
Phone
(617) 451-0585
Address
519 HARRISON AVE
Deactivation Date
8 January 2026
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

  • 519, Harrison Avenue, South End, Boston, Suffolk County, Massachusetts, 02118, United States

    D612

    BOSTON, MA 021184425

    Phone: (617) 451-0585

    Type: Mailing

  • 454, Broadway, Revere, Suffolk County, Massachusetts, 02151, United States

    3RD FLOOR

    REVERE, MA 021513034

    Phone: (781) 485-8222

    Type: Location

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 02118)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1649223967 for Unknown Individual, then check state licensing separately.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
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 should I expect Unknown Individual on a map?
Expect Boston, Massachusetts as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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