Unknown Individual – Clinical Social Worker, NPI 1265763239

Unknown Individual is a healthcare provider. based in Okmulgee, Oklahoma. specializing in Clinical Social Worker. They hold a License No. 4146 (OK). The NPI Number for Unknown Individual is 1265763239

Main info

Organization
Inactive
19 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1265763239
Phone
(918) 758-1910
Address
100 W 7TH ST
Deactivation Date
23 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4052345600
Graduation Year
2007 (19 years ago)
PAC ID
3072753664
Group Practice PAC ID
5193627263
Professional Enrollment ID
I20160701000941
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 100, West 7th Street, Okmulgee, Okmulgee County, Oklahoma, 74447, United States

    OKMULGEE, OK 744475007

    Phone: (918) 758-1910

    Fax: (918) 756-1270

    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 74447)

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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: 5193627263View full group profile
NameSpecialtyState
Diagnostic RadiologyTX
Diagnostic RadiologyOK
Family PracticeOK
Diagnostic RadiologyTX
Diagnostic RadiologyOK
Diagnostic Radiology, Emergency MedicineOK
Diagnostic RadiologyOK
Diagnostic RadiologyOK
Diagnostic RadiologyMN
Diagnostic RadiologyOK

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1265763239 for Unknown Individual.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Okmulgee, Oklahoma in registry-derived data.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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