Unknown Individual – Clinical Social Worker, NPI 1780642637

Unknown Individual is a healthcare provider. based in Steamboat springs, Colorado. specializing in Clinical Social Worker. They hold a License No. 984030 (CO). The NPI Number for Unknown Individual is 1780642637

Main info

Organization
Inactive
52 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1780642637
Phone
(970) 846-0390
Address
PO BOX 880193
Deactivation Date
16 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9708460390
Graduation Year
1974 (52 years ago)
PAC ID
2062508104
Professional Enrollment ID
I20071019000445
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 880193

    STEAMBOAT SPRINGS, CO 804880193

    Phone: (970) 846-0390

    Type: Mailing

  • 320, Oak Street, Steamboat Springs, Routt County, Colorado, 80487, United States

    STEAMBOAT SPRINGS, CO 80477

    Phone: (970) 846-0390

    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 80488)

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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 1780642637; it appears in the national provider directory.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Clinical Social Worker for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Steamboat Springs, Colorado for Unknown Individual based on available NPPES addresses.
What if Steamboat Springs, Colorado seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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