Unknown Individual – Clinical Social Worker, NPI 1013971951

Unknown Individual is a healthcare provider. based in Bolivar, Missouri. specializing in Clinical Social Worker. They hold a License No. MO2004030607 (MO). The NPI Number for Unknown Individual is 1013971951

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1013971951
Phone
(417) 777-8922
Address
1302 W BROADWAY ST
Deactivation Date
27 October 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

  • 1302, West Broadway Street, Bolivar, Polk County, Missouri, 65613, United States

    BOLIVAR, MO 656131815

    Phone: (417) 777-8922

    Type: Mailing

  • 106, West Jackson Street, Bolivar, Polk County, Missouri, 65613, United States

    BOX 451

    BOLIVAR, MO 656131902

    Phone: (417) 777-2648

    Fax: (417) 777-2649

    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.

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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 65613)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1013971951; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
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.
Does Unknown Individual practice in Missouri?
You will see Bolivar, Missouri on file for Unknown Individual alongside any extra practice locations.
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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