Unknown Individual – Clinical Social Worker, NPI 1013927540

Unknown Individual is a healthcare provider. based in Chesapeake, Virginia. specializing in Clinical Social Worker. They hold a License No. 0904005973 (VA). The NPI Number for Unknown Individual is 1013927540

Main info

Organization
Inactive
41 Years Of Experience
Name
Unknown Individual
NPI
1013927540
Phone
(757) 483-3404
Address
3210 CHURCHLAND BLVD
Deactivation Date
12 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7576502953
Graduation Year
1985 (41 years ago)
PAC ID
1658393202
Group Practice PAC ID
1355692005
Professional Enrollment ID
I20051222000505
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

  • 3210, Churchland Boulevard, Vacaro Apartments, Chesapeake, Virginia, 23321, United States

    SUITE 4

    CHESAPEAKE, VA 233215253

    Phone: (757) 483-3404

    Fax: (757) 483-0461

    Type: Location

  • 161, Yorkshire Road, Mallard Cove Apartments, Cavalier Manor, Portsmouth, Virginia, 23701, United States

    PORTSMOUTH, VA 237012154

    Phone: (757) 488-3190

    Type: Mailing

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 23321)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355692005View full group profile
NameSpecialtyState
Physician AssistantVA
-VA
Nurse PractitionerVA

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1013927540 — the number used across U.S. healthcare to identify this provider.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Chesapeake, Virginia.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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