Unknown Individual – Clinical Social Worker, NPI 1194140228

Unknown Individual is a healthcare provider. based in Longview, Washington. specializing in Clinical Social Worker. They hold a License No. LW60140440 (WA). The NPI Number for Unknown Individual is 1194140228

Main info

Organization
Inactive
31 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1194140228
Phone
(360) 423-0203
Address
PO BOX 1847
Deactivation Date
4 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604230203
Graduation Year
1995 (31 years ago)
PAC ID
5890012272
Group Practice PAC ID
2567358286
Professional Enrollment ID
I20150618001533
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • PO BOX 1847

    LONGVIEW, WA 986328140

    Phone: (360) 423-0203

    Fax: (360) 577-0269

    Type: Mailing

  • 2700 SIMPSON AVE STE 101

    ABERDEEN, WA 985204333

    Phone: (360) 906-0228

    Fax: (360) 906-0232

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 98632)

Loading plans...

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: 2567358286View full group profile
NameSpecialtyState
Nurse PractitionerWA
Mental Health CounselorOR
Nurse PractitionerWA
Physician AssistantWA
Clinical Social WorkerWA
Mental Health CounselorWA
Family PracticeWA
P S Y C H I A T R YWA
Mental Health CounselorWA
-WA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1194140228 — is the standard way to identify this listing.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Longview, Washington as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

GAYLE M TATE-CASSON (LICSW)

Clinical Social Worker
PO BOX 249
NPI: 1114911922

CARLOS R CARREON (MSW)

Clinical Social Worker
600, Broadway Street, Longview, Cowlitz County, Washington, 98632, United States
NPI: 1770579773

JUDITH ANNE BARTHOLOMEW (LCSW)

Clinical Social Worker
1329, Broadway Street, Longview, Cowlitz County, Washington, 98632, United States
NPI: 1790738938
Kaiser Permanente Longview-Kelso Medical Office, 1230, 7th Avenue, Longview, Cowlitz County, Washington, 98632, United States
NPI: 1003920018

MR. GENE M O'NEILL (MSW)

Clinical Social Worker
3400 Main St
NPI: 1659487726

ARLENE F. ELLIOTT (M.S.W.)

Clinical Social Worker
Kaiser Permanente Longview-Kelso Medical Office, 1230, 7th Avenue, Longview, Cowlitz County, Washington, 98632, United States
NPI: 1679675110
Tieton Drive, Yakima, Yakima County, Washington, 98902, United States
NPI: 1295828721

FRAN J SMITH (MSW)

Clinical Social Worker
945, 11th Avenue, Longview, Cowlitz County, Washington, 98632, United States
NPI: 1215022546

NORTHWEST PSYCHOLOGICAL RESOURCES LLC

Clinical Neuropsychologist
945, 11th Avenue, Longview, Cowlitz County, Washington, 98632, United States
NPI: 1811079049