Unknown Individual – Clinical Social Worker, NPI 1154475903

Unknown Individual is a healthcare provider. based in Jacksonville, Illinois. specializing in Clinical Social Worker. The NPI Number for Unknown Individual is 1154475903

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1154475903
Phone
(217) 479-4384
Address
125 S WEBSTER AVE
Deactivation Date
13 November 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Illinois School for the Deaf, 125, South Webster Avenue, Jacksonville, Morgan County, Illinois, 62650, United States

    JACKSONVILLE, IL 626501877

    Phone: (217) 479-4384

    Type: Location

  • 1405, Lakelawn Drive, South Jacksonville, Morgan County, Illinois, 62650, United States

    JACKSONVILLE, IL 626503403

    Phone: (217) 245-0867

    Type: Mailing

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 62650)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1154475903.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
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.
Where is Unknown Individual's primary listing?
We display Jacksonville, Illinois because that is what the record indicates for Unknown Individual.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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