Unknown Individual – Clinical Social Worker, NPI 1164430237

Unknown Individual is a healthcare provider. based in Mckinney, Texas. specializing in Clinical Social Worker. They hold a License No. 19329 (TX). The NPI Number for Unknown Individual is 1164430237

Main info

Organization
Inactive
35 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1164430237
Phone
(972) 569-7177
Address
806 CEDAR ST
Deactivation Date
20 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9725697177
Graduation Year
1991 (35 years ago)
PAC ID
1850381310
Professional Enrollment ID
I20040517000128
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

  • 806, South Cedar Street, McKinney, Collin County, Texas, 75069, United States

    MCKINNEY, TX 750695575

    Phone: (972) 569-7177

    Fax: (972) 562-8644

    Type: Mailing

  • Independent Bank, 1600, North Redbud Boulevard, McKinney, Collin County, Texas, 75069, United States

    #404

    MCKINNEY, TX 750693227

    Phone: (972) 569-7177

    Fax: (972) 562-8644

    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.

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 75069)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1164430237 if you need a stable reference for Unknown Individual.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
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 Mckinney, Texas for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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