Unknown Individual – Clinical Social Worker, NPI 1366936817

Unknown Individual is a healthcare provider. based in Enterprise, Alabama. specializing in Clinical Social Worker. They hold a License No. 3997C (AL). The NPI Number for Unknown Individual is 1366936817

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1366936817
Phone
(334) 494-2574
Address
14 MICHAEL LANE
Deactivation Date
6 July 2022
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

  • Enterprise, 1555, Michael Street, Alta Vista, (Old) Ottawa, Ottawa, Eastern Ontario, Ontario, K1B 3T3, Canada

    ENTERPRISE

    ENTERPRISE, AL 363309704

    Phone: (334) 494-2574

    Type: Mailing

  • Lyster Army Health Clinic, 301, Andrews Avenue, Dale County, Alabama, 36362, United States

    CAVHCS (VA WIREGRASS CLINIC)

    FORT RUCKER, AL 36362

    Phone: (334) 503-7831

    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 36330)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1366936817 — the number used across U.S. healthcare to identify this provider.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Alabama is Unknown Individual registered?
Use Enterprise, Alabama as the headline location for Unknown Individual here.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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