Unknown Individual – Clinical Social Worker, NPI 1679519987

Unknown Individual is a healthcare provider. based in Boston, Massachusetts. specializing in Clinical Social Worker. They hold a License No. 1017952 (MA). The NPI Number for Unknown Individual is 1679519987

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1679519987
Phone
(617) 667-3525
Address
330 BROOKLINE AVE
Deactivation Date
22 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

  • Beth Israel Deaconess Medical Center East Campus, 330, Brookline Avenue, Audubon Square, Boston, Suffolk County, Massachusetts, 02215, United States

    SHAPIRO CC915C

    BOSTON, MA 022155400

    Phone: (617) 667-3525

    Fax: (617) 667-8701

    Type: Location

  • 27, Bassett Road, Brockton, Plymouth County, Massachusetts, 02301, United States

    BROCKTON, MA 023014101

    Phone: (508) 588-8279

    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 02215)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1679519987 on file in the registry.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Boston?
Public fields place Unknown Individual around Boston, Massachusetts. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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