Unknown Individual – Social Worker, NPI 1689636029

Unknown Individual is a healthcare provider. based in Cedar rapids, Iowa. specializing in Social Worker. They hold a License No. 02562 (IA). The NPI Number for Unknown Individual is 1689636029

Main info

Organization
Inactive
35 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1689636029
Phone
(319) 369-4505
Address
PO BOX 1824
Deactivation Date
5 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3193986575
Graduation Year
1991 (35 years ago)
PAC ID
0749319721
Group Practice PAC ID
4183535271
Professional Enrollment ID
I20100601000450
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 1824

    CEDAR RAPIDS, IA 524061824

    Phone: (319) 369-4505

    Fax: (319) 369-4677

    Type: Mailing

  • 5264, Council Street Northeast, Cedar Rapids, Linn County, Iowa, 52402, United States

    STE 400

    CEDAR RAPIDS, IA 524022471

    Phone: (319) 398-6575

    Fax: (319) 369-4673

    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 52406)

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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: 4183535271View full group profile
NameSpecialtyState
Clinical Social WorkerMO
General Surgery, Colorectal Surgery (Proctology)IL
Internal Medicine, Infectious DiseasePA
-IA
-IA
-IA
A N E S T H E S I O L O G YOH
-IA
Physician AssistantIA
Nurse PractitionerIA

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1689636029 when you need to reference Unknown Individual in forms, claims, or directories.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Social Worker. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Cedar Rapids, Iowa for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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