Unknown Individual – Clinical Social Worker, NPI 1891715017

Unknown Individual is a healthcare provider. based in Bainbridge island, Washington. specializing in Clinical Social Worker. They hold a License No. LW00005056 (WA). The NPI Number for Unknown Individual is 1891715017

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1891715017
Phone
(206) 842-9175
Address
180 ERICKSEN AVE NE
Deactivation Date
9 August 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

  • 180, Ericksen Avenue Northeast, Winslow, Bainbridge Island, Kitsap County, Washington, 98110, United States

    BAINBRIDGE ISLAND, WA 981101858

    Phone: (206) 842-9175

    Type: Location

  • State Highway 305 Northeast, Poulsbo, Kitsap County, Washington, 98061, United States

    POULSBO, WA 983707803

    Phone: (206) 842-9175

    Type: Mailing

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 98110)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1891715017 on file in the registry.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
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.
Is Unknown Individual located near Bainbridge Island?
Unknown Individual currently maps to Bainbridge Island, Washington in this extract.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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