Unknown Individual – Clinical Social Worker, NPI 1912996372

Unknown Individual is a healthcare provider. based in Springfield, Illinois. specializing in Clinical Social Worker. They hold a License No. 149-009139 (IL). The NPI Number for Unknown Individual is 1912996372

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1912996372
Phone
(217) 757-8100
Address
PO BOX 19670
Deactivation Date
6 March 2025
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

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Provider Addresses for Unknown Individual

  • PO BOX 19670

    SPRINGFIELD, IL 627949670

    Phone: (217) 757-8100

    Fax: (217) 757-8161

    Type: Mailing

  • 520, North 4th Street, Springfield, Sangamon County, Illinois, 62702, United States

    SPRINGFIELD, IL 627025238

    Phone: (217) 757-8100

    Fax: (217) 757-8161

    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 62794)

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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 1912996372.
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.
Does Unknown Individual practice in Illinois?
You will see Springfield, Illinois on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1912996372. Always confirm identity and privileges with the practice and licensing boards.

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