Unknown Individual – Clinical Social Worker, NPI 1063529477

Unknown Individual is a healthcare provider. based in Gaylord, Michigan. specializing in Clinical Social Worker. They hold a License No. LCSW 1028 (ID). The NPI Number for Unknown Individual is 1063529477

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063529477
Phone
(989) 732-7525
Address
806 S OTSEGO AVE
Deactivation Date
28 June 2023
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

  • Gaylord Veterans Administration Outpatient Clinic, 806, South Otsego Avenue, Gaylord, Otsego County, Michigan, 49732, United States

    VA CBOC

    GAYLORD, MI 497351725

    Phone: (989) 732-7525

    Fax: (989) 732-6577

    Type: Location

  • VA CBOC

    806 S. OTSEGO AVE.

    GAYLORD, MI 49735

    Phone: (989) 732-7525

    Fax: (989) 732-6577

    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.

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 49735)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1063529477 if you need a stable reference for Unknown Individual.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Gaylord, Michigan for Unknown Individual; download NPPES for the complete set.
What if Gaylord, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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