Unknown Individual – Social Worker, NPI 1790723641

Unknown Individual is a healthcare provider. based in Dayton, Ohio. specializing in Social Worker. They hold a License No. I0001429 (OH). The NPI Number for Unknown Individual is 1790723641

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790723641
Phone
(937) 268-6511
Address
4245 OLD RIVERSIDE DR
Deactivation Date
31 January 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 4245 OLD RIVERSIDE DR

    DAYTON, OH 454051461

    Phone: (937) 268-6511

    Fax: (937) 267-3901

    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 45405)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1790723641; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Social Worker. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Dayton, Ohio for Unknown Individual; download NPPES for the complete set.
What if Dayton, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.