Unknown Individual – Clinical Social Worker, NPI 1639479199

Unknown Individual is a healthcare provider. based in Painesville, Ohio. specializing in Clinical Social Worker. They hold a License No. I.1000316 (OH). The NPI Number for Unknown Individual is 1639479199

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1639479199
Phone
(440) 463-4827
Address
25 ORCHARD GRV
Deactivation Date
6 January 2022
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

Provider Addresses for Unknown Individual

  • 25 ORCHARD GRV

    PAINESVILLE, OH 440772525

    Phone: (440) 463-4827

    Type: Mailing

  • 38879 MENTOR AVE

    WILLOUGHBY, OH 440947992

    Phone: (440) 953-9999

    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.

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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 44077)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1639479199.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Painesville, Ohio as the reference point for Unknown Individual, then confirm.
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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