Unknown Individual – Clinical Social Worker, NPI 1750651014

Unknown Individual is a healthcare provider. based in Rock springs, Wyoming. specializing in Clinical Social Worker. They hold a License No. LCSW-938 (WY). The NPI Number for Unknown Individual is 1750651014

Main info

Organization
Inactive
15 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1750651014
Phone
(307) 352-6677
Address
2300 FOOTHILL BLVD
Deactivation Date
21 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2084548389
Graduation Year
2011 (15 years ago)
PAC ID
6507142312
Group Practice PAC ID
0244485894
Professional Enrollment ID
I20170410002751
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

Provider Addresses for Unknown Individual

  • 2300 FOOTHILL BLVD

    ROCK SPRINGS, WY 829015610

    Phone: (307) 352-6677

    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 82901)

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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: 0244485894View full group profile
NameSpecialtyState
Undefined Non Physician Type (Specify)ID
Mental Health CounselorID
Nurse PractitionerID
Nurse PractitionerID
Clinical Social WorkerID
Mental Health CounselorMT
P S Y C H I A T R YID
-ID
-ID
Mental Health CounselorOR

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1750651014 is assigned to Unknown Individual under the national enumeration system.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Clinical Social Worker for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Rock Springs, Wyoming for Unknown Individual; expand the address list for detail.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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