Unknown Individual – Clinical Social Worker, NPI 1912089541

Unknown Individual is a healthcare provider. based in Hopkinsville, Kentucky. specializing in Clinical Social Worker. They hold a License No. 1375 (KY). The NPI Number for Unknown Individual is 1912089541

Main info

Organization
Inactive
30 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1912089541
Phone
Not provided
Address
PO BOX 614
Deactivation Date
25 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2708865163
Graduation Year
1996 (30 years ago)
PAC ID
7416998943
Group Practice PAC ID
7911803440
Professional Enrollment ID
I20050516000403
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

Provider Addresses for Unknown Individual

  • PO BOX 614

    HOPKINSVILLE, KY 422410614

    Phone:

    Type: Mailing

  • 607 Hammond Plz

    Hopkinsville, KY 422404971

    Phone: (270) 886-2205

    Type: Location

  • 735, North Drive, Hopkinsville, Christian County, Kentucky, 42240, United States

    HOPKINSVILLE, KY 422402620

    Phone: (270) 886-5163

    Fax: (270) 886-5178

    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 42241)

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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: 7911803440View full group profile

Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1912089541 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Kentucky is Unknown Individual registered?
Use Hopkinsville, Kentucky as the headline location for Unknown Individual here.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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