Unknown Individual – Clinical Social Worker, NPI 1568477909

Unknown Individual is a healthcare provider. based in Glen ellyn, Illinois. specializing in Clinical Social Worker. They hold a License No. 149-000591 (IL). The NPI Number for Unknown Individual is 1568477909

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1568477909
Phone
(630) 942-1153
Address
22W165 GLEN PARK RD
Deactivation Date
31 January 2022
Data current as of
19 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

  • 22W165 GLEN PARK RD

    GLEN ELLYN, IL 601377079

    Phone: (630) 942-1153

    Fax: (630) 942-1153

    Type: Mailing

  • 21W785 MCCARRON RD

    GLEN ELLYN, IL 601377090

    Phone: (630) 942-1153

    Fax: (630) 942-1153

    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.

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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 60137)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1568477909 if you need a stable reference for Unknown Individual.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Clinical Social Worker for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Glen Ellyn, Illinois for Unknown Individual; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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