Unknown Individual – Clinical Social Worker, NPI 1063504355

Unknown Individual is a healthcare provider. based in Long beach, Washington. specializing in Clinical Social Worker. They hold a License No. LW00004657 (WA). The NPI Number for Unknown Individual is 1063504355

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063504355
Phone
(360) 642-3787
Address
PO BOX 863
Deactivation Date
18 June 2021
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

  • PO BOX 863

    LONG BEACH, WA 98631

    Phone: (360) 642-3787

    Fax: (360) 642-2096

    Type: Mailing

  • Pacific Coast Highway North Frontage Road, Willowville, Long Beach, Los Angeles County, California, 90813, United States

    LONG BEACH, WA 98631

    Phone: (360) 642-3787

    Fax: (360) 642-2096

    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 98631)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1063504355.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Long Beach, Washington in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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