Unknown Individual – Clinical Social Worker, NPI 1528211448

Unknown Individual is a healthcare provider. based in Chicago, Illinois. specializing in Clinical Social Worker. They hold a License No. 150.011759 (IL). The NPI Number for Unknown Individual is 1528211448

Main info

Organization
Inactive
18 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1528211448
Phone
(773) 506-3030
Address
5547 N RAVENSWOOD AVE
Deactivation Date
21 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7733824061
Graduation Year
2008 (18 years ago)
PAC ID
4082976428
Group Practice PAC ID
5496856569
Professional Enrollment ID
I20180322000812
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

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

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Provider Addresses for Unknown Individual

  • 5547, North Ravenswood Avenue, Edgewater, Uptown, Chicago, Lake View Township, Cook County, Illinois, 60640, United States

    CHICAGO, IL 606401125

    Phone: (773) 506-3030

    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 60640)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496856569View full group profile
NameSpecialtyState
KATHERINE ALSHULER (LCSW, CADC)
-IL
SARAH FLETCHER
-IL
BRIDGET MCLAUGHLIN (LCSW)
-IL
MARGARET MCGINNIS
-IL
LILY PEIFER
-IL

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1528211448 — is the standard way to identify this listing.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Chicago, Illinois as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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