Unknown Individual – Social Worker, NPI 1710035142

Unknown Individual is a healthcare provider. based in Swampscott, Massachusetts. specializing in Social Worker. They hold a License No. 313203 (MA). The NPI Number for Unknown Individual is 1710035142

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1710035142
Phone
(781) 598-0639
Address
104 STETSON AVE
Deactivation Date
22 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

  • 104, Stetson Avenue, Swampscott, Essex County, Massachusetts, 01907, United States

    SWAMPSCOTT, MA 01907

    Phone: (781) 598-0639

    Type: Mailing

  • 111, North Common Street, Lynn, Essex County, Massachusetts, 01904, United States

    LYNN, MA 019024223

    Phone: (781) 598-5517

    Fax: (781) 581-6614

    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.

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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 01907)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1710035142 as the unique 10-digit identifier.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Social Worker. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is Unknown Individual registered?
Use Swampscott, Massachusetts as the headline location for Unknown Individual here.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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