Unknown Individual – Clinical Social Worker, NPI 1669438107

Unknown Individual is a healthcare provider. based in Lansing, Michigan. specializing in Clinical Social Worker. They hold a License No. 6801005470 (MI). The NPI Number for Unknown Individual is 1669438107

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1669438107
Phone
(517) 346-8410
Address
812 E JOLLY RD
Deactivation Date
20 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

  • 812, East Jolly Road, Lansing, Ingham County, Michigan, 48910, United States

    STE 210

    LANSING, MI 489106818

    Phone: (517) 346-8410

    Fax: (517) 346-8291

    Type: Mailing

  • 630, Cedar Street, Mason, Effingham County, Illinois, 62443, United States

    MASON, MI 488541017

    Phone: (517) 676-8345

    Fax: (517) 346-8291

    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 48910)

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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 1669438107 in the public NPI dataset.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Lansing, Michigan in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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