Unknown Individual – Clinical Social Worker, NPI 1649357302

Unknown Individual is a healthcare provider. based in New bedford, Massachusetts. specializing in Clinical Social Worker. They hold a License No. 102372 (MA). The NPI Number for Unknown Individual is 1649357302

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1649357302
Phone
(508) 997-0794
Address
466 COUNTY ST
Deactivation Date
18 November 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

  • 464;466, County Street, New Bedford, Bristol County, Massachusetts, 02740-4938, United States

    NEW BEDFORD, MA 027405107

    Phone: (508) 997-0794

    Fax: (508) 999-6607

    Type: Location

  • 12, Hills Street, North Randolph, Randolph, Norfolk County, Massachusetts, 02368, United States

    RANDOLPH, MA 023681923

    Phone: (781) 961-4084

    Fax: (508) 999-6607

    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 02740)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1649357302.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is New Bedford, Massachusetts in our summary view.
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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