Unknown Individual – Clinical Social Worker, NPI 1871562215

Unknown Individual is a healthcare provider. based in Christiansburg, Virginia. specializing in Clinical Social Worker. They hold a License No. 0904-003831 (VA). The NPI Number for Unknown Individual is 1871562215

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1871562215
Phone
(540) 731-7311
Address
2900 TYLER RD
Deactivation Date
7 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4349473033
Graduation Year
1983 (43 years ago)
PAC ID
5092732271
Group Practice PAC ID
4789606088
Professional Enrollment ID
I20051027000170
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

  • 2900 TYLER RD

    CHRISTIANSBURG, VA 240736374

    Phone: (540) 731-7311

    Type: Location

  • 1175, Brown Street Northeast, Newcomb Heights, Cambria, Christiansburg, Montgomery County, Virginia, 24073, United States

    CHRISTIANSBURG, VA 240731503

    Phone:

    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 24073)

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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: 4789606088View full group profile
NameSpecialtyState
-VA
N E U R O L O G YMD
Internal MedicineVA
-VA
N E U R O S U R G E R YVA
Hospitalist, Family PracticeVA
Diagnostic RadiologyOH
Cardiac ElectrophysiologyVA
-SC
-VA

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1871562215 — is the standard way to identify this listing.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Christiansburg, Virginia in our summary view.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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