Unknown Individual – Clinical Social Worker, NPI 1376554733

Unknown Individual is a healthcare provider. based in Dayton, Ohio. specializing in Clinical Social Worker. They hold a License No. I 0000160 (OH). The NPI Number for Unknown Individual is 1376554733

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1376554733
Phone
(937) 268-6511
Address
4100 W 3RD ST
Deactivation Date
13 December 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

  • 4100, West 3rd Street, Residence Park, Dayton, Montgomery County, Ohio, 45417, United States

    DAYTON, OH 454289000

    Phone: (937) 268-6511

    Fax: (937) 267-3975

    Type: Location

  • 2482, Wilberforce-Clifton Road, Clifton, Cedarville Township, Greene County, Ohio, 45385, United States

    XENIA, OH 453859460

    Phone: (937) 766-2885

    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 45428)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1376554733 in the public NPI dataset.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Dayton, Ohio; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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