Unknown Individual – Clinical Social Worker, NPI 1609806934

Unknown Individual is a healthcare provider. based in Edmond, Oklahoma. specializing in Clinical Social Worker. They hold a License No. 1766 (OK). The NPI Number for Unknown Individual is 1609806934

Main info

Organization
Inactive
35 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1609806934
Phone
(405) 509-1384
Address
15401 N. MAY AVENUE
Deactivation Date
23 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1991 (35 years ago)
PAC ID
8729029814
Professional Enrollment ID
I20050711000664
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

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Provider Addresses for Unknown Individual

  • The AMG Team, 15401, North May Avenue, Edmond, Oklahoma County, Oklahoma, 73013, United States

    SUITE 600

    EDMOND, OK 730139079

    Phone: (405) 509-1384

    Fax: (405) 563-9416

    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 73013)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1609806934 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
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.
Where does public data place Unknown Individual?
The snapshot lists Edmond, Oklahoma for Unknown Individual; download NPPES for the complete set.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1609806934. Always confirm identity and privileges with the practice and licensing boards.

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