Unknown Individual – Clinical Social Worker, NPI 1720087927

Unknown Individual is a healthcare provider. based in Wichita falls, Texas. specializing in Clinical Social Worker. They hold a License No. S04132 (TX). The NPI Number for Unknown Individual is 1720087927

Main info

Organization
Inactive
54 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1720087927
Phone
(940) 322-9456
Address
1808 ROSE ST
Deactivation Date
4 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9403229456
Graduation Year
1972 (54 years ago)
PAC ID
7012928864
Professional Enrollment ID
I20060509000267
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

Loading map...

Provider Addresses for Unknown Individual

  • 1808, Rose Street, Wichita Falls, Wichita County, Texas, 76301, United States

    WICHITA FALLS, TX 763014219

    Phone: (940) 322-9456

    Fax: (940) 322-6759

    Type: Mailing

  • 1819, 8th Street, Wichita Falls, Wichita County, Texas, 76301, United States

    WICHITA FALLS, TX 763014212

    Phone: (940) 322-9456

    Fax: (940) 322-6759

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour12623$0
90834Psychotherapy, 45 minutes12121$0
View full utilization report →

Insurance plans in this area (ZIP 76301)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1720087927 — the number used across U.S. healthcare to identify this provider.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Texas is Unknown Individual registered?
Use Wichita Falls, Texas as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

CHUCK STAATS (LCSW)

Clinical Social Worker
1808, Rose Street, Wichita Falls, Wichita County, Texas, 76301, United States
NPI: 1629077995

JOHN BUTLER (LMSW, ACP, PH.D.)

Clinical Social Worker
1808, Rose Street, Wichita Falls, Wichita County, Texas, 76301, United States
NPI: 1417956632

THOMAS J CLEARY (LCSW)

Clinical Social Worker
1411, 9th Street, Wichita Falls, Wichita County, Texas, 76301, United States
NPI: 1952300162
1808, Rose Street, Wichita Falls, Wichita County, Texas, 76301, United States
NPI: 1760481709

MR. JOHN CHARLES ADKINS (M.S.W.)

Clinical Social Worker
1558, Singleton Avenue, Wichita Falls, Wichita County, Texas, 76302, United States
NPI: 1477539849

MR. LESLIE BRENT WALKER (MSSW)

Clinical Social Worker
Mallory Lane, Wichita Falls, Wichita County, Texas, 76309, United States
NPI: 1730165689
2812, South Shepherds Glen, Sikes Estates, Wichita Falls, Wichita County, Texas, 76308, United States
NPI: 1144207721
1005, Midwestern Parkway, Wichita Falls, Wichita County, Texas, 76302, United States
NPI: 1730291055

PENNY RAYCHEL ROBINSON (LBSW)

Clinical Social Worker
1005, Midwestern Parkway, Wichita Falls, Wichita County, Texas, 76302, United States
NPI: 1588776892