Unknown Individual – Clinical Social Worker, NPI 1114243714

Unknown Individual is a healthcare provider. based in Chehalis, Washington. specializing in Clinical Social Worker. They hold a License No. LW60330022 (WA). The NPI Number for Unknown Individual is 1114243714

Main info

Organization
Inactive
19 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1114243714
Phone
(360) 827-1666
Address
1673 S MARKET BLVD
Deactivation Date
7 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3608271666
Graduation Year
2007 (19 years ago)
PAC ID
3173769585
Professional Enrollment ID
I20130409000252
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Mail Plus, 1673, South Market Boulevard, Chehalis, Lewis County, Washington, 98532, United States

    # 140

    CHEHALIS, WA 98532

    Phone: (360) 827-1666

    Fax: (440) 398-1287

    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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98532)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1114243714 is assigned to Unknown Individual under the national enumeration system.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Clinical Social Worker for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Chehalis, Washington for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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