Unknown Individual – Clinical Social Worker, NPI 1982642625

Unknown Individual is a healthcare provider. based in Williamsburg, Virginia. specializing in Clinical Social Worker. They hold a License No. 0904001837 (VA). The NPI Number for Unknown Individual is 1982642625

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1982642625
Phone
(757) 294-0037
Address
121 BROADMOOR
Deactivation Date
31 January 2024
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

  • 121 BROADMOOR

    WILLIAMSBURG, VA 231889204

    Phone: (757) 294-0037

    Fax: (757) 294-5113

    Type: Mailing

  • 474, Colonial Trail East, Town of Surry Historic District, Surry, Surry County, Virginia, 23883, United States

    SURRY, VA 238832703

    Phone: (757) 294-0037

    Fax: (757) 294-5113

    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.

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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 23188)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1982642625 — is the standard way to identify this listing.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Williamsburg, Virginia in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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