Unknown Individual – Clinical Social Worker, NPI 1689652430

Unknown Individual is a healthcare provider. based in Ashland, Oregon. specializing in Clinical Social Worker. They hold a License No. L0298 (OR). The NPI Number for Unknown Individual is 1689652430

Main info

Organization
Inactive
53 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1689652430
Phone
(541) 482-3425
Address
720 GROVER ST
Deactivation Date
3 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5417767601
Graduation Year
1973 (53 years ago)
PAC ID
9830379817
Professional Enrollment ID
I20110208000669
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

  • Grover Street, Ashland, Jackson County, Oregon, 97520, United States

    ASHLAND, OR 975201565

    Phone: (541) 482-3425

    Fax: (541) 488-4275

    Type: Mailing

  • Court Street, Glenwood, Medford, Middlesex County, Massachusetts, 02155, United States

    MEDFORD, OR 975015728

    Phone: (541) 776-7601

    Fax: (541) 776-3007

    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.

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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 97520)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1689652430.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Ashland, Oregon?
For routing, start with Ashland, Oregon for Unknown Individual, then verify phone and hours locally.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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