Unknown Individual – Clinical Social Worker, NPI 1518044197

Unknown Individual is a healthcare provider. based in Kilmarnock, Virginia. specializing in Clinical Social Worker. They hold a License No. 0904000957 (VA). The NPI Number for Unknown Individual is 1518044197

Main info

Organization
Inactive
56 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1518044197
Phone
(804) 210-1104
Address
113 DMV DR
Deactivation Date
11 October 2024

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8044351684
Graduation Year
1970 (56 years ago)
PAC ID
0446230353
Group Practice PAC ID
3577707066
Professional Enrollment ID
I20040721001656
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

  • 113 DMV DR

    KILMARNOCK, VA 224823843

    Phone: (804) 210-1104

    Fax: (804) 210-1105

    Type: Location

  • Gloucester Post Office, 6892, Main Street, Edgehill, Gloucester, Gloucester County, Virginia, 23061, United States

    GLOUCESTER, VA 230612133

    Phone: (804) 210-1104

    Fax: (804) 210-1105

    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.

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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 22482)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1518044197 as the unique 10-digit identifier.
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.
Where in Virginia is Unknown Individual registered?
Use Kilmarnock, Virginia as the headline location for Unknown Individual here.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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