Unknown Individual – Clinical Social Worker, NPI 1013155548

Unknown Individual is a healthcare provider. based in Indianapolis, Indiana. specializing in Clinical Social Worker. They hold a License No. 34001870A (IN). The NPI Number for Unknown Individual is 1013155548

Main info

Organization
Inactive
52 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1013155548
Phone
(317) 274-1201
Address
PO BOX 1026
Deactivation Date
2 January 2025

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
3172537387
Graduation Year
1974 (52 years ago)
PAC ID
3173789799
Group Practice PAC ID
4688667488
Professional Enrollment ID
I20120726000545
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Indianapolis, Marion County, Indiana, United States

    INDIANAPOLIS, IN 462061026

    Phone: (317) 274-1201

    Fax: (317) 278-9905

    Type: Mailing

  • Riley Hospital for Children, 705, Riley Hospital Drive, Indianapolis, Marion, Indiana, 46202, United States

    RI 5837

    INDIANAPOLIS, IN 462025109

    Phone: (317) 944-8167

    Fax: (317) 944-9760

    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 46206)

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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: 4688667488View full group profile

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1013155548?
NPI 1013155548 belongs to Unknown Individual; compare other details if you need extra assurance.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Indianapolis, Indiana as the reference point for Unknown Individual, then confirm.
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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