Unknown Individual – Clinical Social Worker, NPI 1245422997

Unknown Individual is a healthcare provider. based in Bethel, Alaska. specializing in Clinical Social Worker. They hold a License No. CSWS818 (AK). The NPI Number for Unknown Individual is 1245422997

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1245422997
Phone
(907) 543-6101
Address
YKHC BHS 829 CHIEF EDDIE HOFFMAN HIGHWAY
Deactivation Date
1 May 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience18
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • YKHC BHS 829 CHIEF EDDIE HOFFMAN HIGHWAY

    SUITE 320

    BETHEL, AK 99559

    Phone: (907) 543-6101

    Fax: (907) 543-6564

    Type: Mailing

  • Mat-Su Health Services Medical Clinic, 1363, West Spruce Avenue, Wasilla, Matanuska-Susitna, Alaska, 99654, United States

    WASILLA, AK 99654

    Phone: (907) 376-2411

    Fax: (907) 352-3373

    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 99559)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1245422997 as the unique 10-digit identifier.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Bethel?
Unknown Individual currently maps to Bethel, Alaska in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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