Unknown Individual – Clinical Social Worker, NPI 1225047228

Unknown Individual is a healthcare provider. based in Kalamazoo, Michigan. specializing in Clinical Social Worker. They hold a License No. 6801009686 (MI). The NPI Number for Unknown Individual is 1225047228

Main info

Organization
Inactive
64 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1225047228
Phone
(269) 373-5407
Address
3219 LORRAINE AVE
Deactivation Date
18 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5172798123
Graduation Year
1962 (64 years ago)
PAC ID
3971638388
Professional Enrollment ID
I20100323000877
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

  • 3219, Lorraine Avenue, Oakland/Winchell, Kalamazoo, Kalamazoo County, Michigan, 49008, United States

    KALAMAZOO, MI 490082003

    Phone: (269) 373-5407

    Type: Mailing

  • 298 W LOCKWOOD RD

    COLDWATER, MI 490369351

    Phone: (517) 279-8123

    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 49008)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1225047228; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Kalamazoo, Michigan for Unknown Individual based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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