Unknown Individual – Clinical Social Worker, NPI 1285620575

Unknown Individual is a healthcare provider. based in Bloomington, Indiana. specializing in Clinical Social Worker. They hold a License No. 34000516A (IN). The NPI Number for Unknown Individual is 1285620575

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1285620575
Phone
(812) 339-1691
Address
645 S ROGERS ST
Deactivation Date
24 February 2021
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

  • 645, South Rogers Street, Prospect Hill, Bloomington, Monroe County, Indiana, 47403, United States

    BLOOMINGTON, IN 474032353

    Phone: (812) 339-1691

    Fax: (812) 337-2438

    Type: Mailing

  • 1315, Hillcrest Road, Bedford, Lawrence County, Indiana, 47421, United States

    BEDFORD, IN 474213023

    Phone: (812) 279-3591

    Fax: (812) 275-0787

    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.

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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 47403)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1285620575 as the unique 10-digit identifier.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Bloomington?
Unknown Individual currently maps to Bloomington, Indiana in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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