Unknown Individual – Clinical Social Worker, NPI 1407952690

Unknown Individual is a healthcare provider. based in Spring lake, Michigan. specializing in Clinical Social Worker. They hold a License No. 107731 (MA). The NPI Number for Unknown Individual is 1407952690

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1407952690
Phone
(616) 844-2407
Address
17672 WOODBRIDGE RD
Deactivation Date
9 August 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

Provider Addresses for Unknown Individual

  • 17672 WOODBRIDGE RD

    SPRING LAKE, MI 494569442

    Phone: (616) 844-2407

    Mailing address matches the actual address.

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 49456)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1407952690?
NPI 1407952690 belongs to Unknown Individual; compare other details if you need extra assurance.
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.
What practice footprint exists for Unknown Individual?
Travel planning: use Spring Lake, Michigan as the reference point for Unknown Individual, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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