Unknown Individual – Clinical Social Worker, NPI 1063844371

Unknown Individual is a healthcare provider. based in Bartlesville, Oklahoma. specializing in Clinical Social Worker. The NPI Number for Unknown Individual is 1063844371

Main info

Organization
Inactive
13 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1063844371
Phone
(918) 337-8080
Address
700 SW PENN
Deactivation Date
23 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9183378080
Graduation Year
2013 (13 years ago)
PAC ID
2567701659
Group Practice PAC ID
4688711534
Professional Enrollment ID
I20190307001839
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 700 SW PENN

    BARTLESVILLE, OK 740033847

    Phone: (918) 337-8080

    Fax: (918) 337-8099

    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 74003)

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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: 4688711534View full group profile
NameSpecialtyState
P S Y C H I A T R YOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
-OK
Mental Health CounselorOK
Mental Health CounselorKS
Marriage And Family TherapistOK
Clinical Social WorkerOK

Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1063844371.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Clinical Social Worker is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Bartlesville, Oklahoma; more addresses can appear in NPPES.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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