Unknown Individual – Clinical Social Worker, NPI 1770511073

Unknown Individual is a healthcare provider. based in Urbandale, Iowa. specializing in Clinical Social Worker. They hold a License No. 05980 (IA). The NPI Number for Unknown Individual is 1770511073

Main info

Organization
Inactive
25 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1770511073
Phone
(515) 710-0123
Address
2548 PINE CIR
Deactivation Date
8 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5157100123
Graduation Year
2001 (25 years ago)
PAC ID
3274513973
Professional Enrollment ID
I20040722001279
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

  • 2548, Pine Circle, Cobblestone, Urbandale, Polk County, Iowa, 50322, United States

    URBANDALE, IA 503224482

    Phone: (515) 710-0123

    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 50322)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1770511073 if you need a stable reference for Unknown Individual.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Clinical Social Worker for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Urbandale, Iowa for Unknown Individual based on available NPPES addresses.
What if Urbandale, Iowa seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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