Unknown Individual – Clinical Social Worker, NPI 1790713642

Unknown Individual is a healthcare provider. based in Belton, Texas. specializing in Clinical Social Worker. They hold a License No. S20968 (TX). The NPI Number for Unknown Individual is 1790713642

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1790713642
Phone
(254) 681-8919
Address
3745 CANYON HEIGHTS RD
Deactivation Date
10 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2546818919
Graduation Year
1978 (48 years ago)
PAC ID
0749457364
Professional Enrollment ID
I20120124000055
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

Provider Addresses for Unknown Individual

  • 3745 CANYON HEIGHTS RD

    BELTON, TX 765135137

    Phone: (254) 681-8919

    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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour19312$0
View full utilization report →

Insurance plans in this area (ZIP 76513)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1790713642 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Belton, Texas for Unknown Individual; download NPPES for the complete set.
What if Belton, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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