Unknown Individual – Clinical Social Worker, NPI 1760680177

Unknown Individual is a healthcare provider. based in Wichita, Kansas. specializing in Clinical Social Worker. They hold a License No. 003 (KS). The NPI Number for Unknown Individual is 1760680177

Main info

Organization
Inactive
19 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1760680177
Phone
(316) 253-1995
Address
3781 E APPLEBY CT
Deactivation Date
10 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
4880851450
Professional Enrollment ID
I20120209000320
Data current as of
19 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

  • 3781, East Appleby Court, Wichita, Sedgwick County, Kansas, 67210, United States

    WICHITA, KS 672101314

    Phone: (316) 253-1995

    Type: Mailing

  • North Baltimore Avenue, Derby, Sedgwick County, Kansas, 67037, United States

    DERBY, KS 670371605

    Phone: (316) 866-2882

    Fax: (316) 866-2811

    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 67210)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1760680177 for Unknown Individual, then check state licensing separately.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Wichita, Kansas; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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