Unknown Individual – Clinical Social Worker, NPI 1629306097

Clinical Social Worker

Unknown Individual is a healthcare provider. based in Sandusky, Ohio. specializing in Clinical Social Worker. They hold a License No. I0007675 (OH). The NPI Number for Unknown Individual is 1629306097

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1629306097

Phone

(419) 557-5177

Address

1925 HAYES AVE

Deactivation Date

21 November 2024

Data current as of

20 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

1925, Hayes Avenue, Fremont, Sandusky County, Ohio, 43420, United States
SANDUSKY, OH 44857
Phone: (419) 557-5177
Fax: (419) 557-5179
Type: Mailing
292, Benedict Avenue, West Main Street Historic District, Norwalk, Huron County, Ohio, 44857, United States
NORWALK, OH 448572374
Phone: (419) 663-3737
Fax: (419) 663-5096
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.

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 44857)

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Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?

NPI numbers are unique to each provider or organization — Unknown Individual uses 1629306097.

What dates should I check for Unknown Individual's activity?

We display what the registry publishes: Unknown Individual appears inactive there.

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 address line appears for Unknown Individual?

Unknown Individual's geographic hint is Sandusky, Ohio in our summary view.

Is the information about Unknown Individual up to date?

Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."