Unknown Individual – Clinical Social Worker, NPI 1972780617

Unknown Individual is a healthcare provider. based in Carpentersville, Illinois. specializing in Clinical Social Worker. They hold a License No. 149009601 (IL). The NPI Number for Unknown Individual is 1972780617

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1972780617
Phone
(847) 551-8017
Address
3003 WAKEFIELD DR
Deactivation Date
6 February 2025
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

  • 3003, Wakefield Drive, Carpentersville, Kane County, Illinois, 60110, United States

    CARPENTERSVILLE, IL 601102422

    Phone: (847) 551-8017

    Fax: (847) 851-8700

    Type: Location

  • 233, West Joe Orr Road, Chicago Heights, Bloom Township, Cook County, Illinois, 60411, United States

    CHICAGO HEIGHTS, IL 604111744

    Phone: (708) 754-1044

    Fax: (708) 747-3497

    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 60110)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1972780617 in the public NPI dataset.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Carpentersville, Illinois; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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