Unknown Individual – Clinical Social Worker, NPI 1558319905

Unknown Individual is a healthcare provider. based in Leavenworth, Kansas. specializing in Clinical Social Worker. They hold a License No. 0434 (KS). The NPI Number for Unknown Individual is 1558319905

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1558319905
Phone
(913) 682-2000
Address
4101 S 4TH ST
Deactivation Date
6 November 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

  • Dwight D. Eisenhower VA Medical Center, 4101, South 4th Street, Wadsworth, Leavenworth, Leavenworth County, Kansas, 66048, United States

    ATT.: RICHARD FORGE

    LEAVENWORTH, KS 660485014

    Phone: (913) 682-2000

    Fax: (913) 758-4219

    Mailing address matches the actual address.

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 66048)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1558319905 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Leavenworth, Kansas because that is what the record indicates for Unknown Individual.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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