Unknown Individual – Clinical Social Worker, NPI 1417182585

Unknown Individual is a healthcare provider. based in Laramie, Wyoming. specializing in Clinical Social Worker. They hold a License No. 374 (WY). The NPI Number for Unknown Individual is 1417182585

Main info

Organization
Inactive
23 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1417182585
Phone
(307) 745-8915
Address
1263 N 15TH ST
Deactivation Date
28 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3077458915
Graduation Year
2003 (23 years ago)
PAC ID
2961678313
Group Practice PAC ID
7911993662
Professional Enrollment ID
I20120105000875
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1263, North 15th Street, Laramie, Albany County, Wyoming, 82072, United States

    LARAMIE, WY 820722343

    Phone: (307) 745-8915

    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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour16232$0
90832Psychotherapy, 30 minutes8529$0
90834Psychotherapy, 45 minutes3723$0
View full utilization report →

Insurance plans in this area (ZIP 82072)

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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: 7911993662View full group profile

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1417182585 if you need a stable reference for Unknown Individual.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Laramie, Wyoming 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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