Unknown Individual – Clinical Social Worker, NPI 1467461129

Unknown Individual is a healthcare provider. based in Milwaukee, Wisconsin. specializing in Clinical Social Worker. They hold a License No. 322-125 (WI). The NPI Number for Unknown Individual is 1467461129

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1467461129
Phone
(414) 277-1032
Address
925 E WELLS ST
Deactivation Date
22 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
41429194876
Graduation Year
1987 (39 years ago)
PAC ID
8426941808
Professional Enrollment ID
I20040209000114
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:0State licenses:4Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Bacchus, 925, East Wells Street, East Town, Milwaukee, Milwaukee County, Wisconsin, 53202-3811, United States

    MILWAUKEE, WI 532023900

    Phone: (414) 277-1032

    Type: Mailing

  • 6980, North Port Washington Road, Glendale, Milwaukee County, Wisconsin, 53217, United States

    #202

    MILWAUKEE, WI 532173921

    Phone: (414) 351-7107

    Fax: (414) 247-4082

    Type: Location

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 53202)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1467461129.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Milwaukee, Wisconsin in the same public data insurers reference.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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