Unknown Individual – Clinical Social Worker, NPI 1851409221

Unknown Individual is a healthcare provider. based in South sioux city, Nebraska. specializing in Clinical Social Worker. They hold a License No. 1063 MSW (NE). The NPI Number for Unknown Individual is 1851409221

Main info

Organization
Inactive
37 Years Of Experience
Name
Unknown Individual
NPI
1851409221
Phone
(402) 412-2000
Address
3900 DAKOTA AVE
Deactivation Date
19 January 2021

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1989 (37 years ago)
PAC ID
8123291317
Professional Enrollment ID
I20111111000504
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience18
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Tri-State Physicians & Physical Therapy Clinic, 3900, Dakota Avenue, South Sioux City, Dakota County, Nebraska, 68776, United States

    SUITE 4A

    SOUTH SIOUX CITY, NE 687763696

    Phone: (402) 412-2000

    Fax: (402) 412-2001

    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.

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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 68776)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1851409221 — is the standard way to identify this listing.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is South Sioux City, Nebraska in our summary view.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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