Unknown Individual – Clinical Social Worker, NPI 1285655142

Unknown Individual is a healthcare provider. based in Saint louis, Missouri. specializing in Clinical Social Worker. They hold a License No. 000768 (MO). The NPI Number for Unknown Individual is 1285655142

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1285655142
Phone
(314) 525-4412
Address
10018 KENNERLY RD
Deactivation Date
9 April 2026
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

  • 10018, Kennerly Road, Sappington, Saint Louis County, Missouri, 63128, United States

    SAINT LOUIS, MO 631282106

    Phone: (314) 525-4412

    Fax: (314) 525-4420

    Type: Location

  • 7103, Applerock Drive, Enclave at Winghaven Apartments, O’Fallon, Saint Charles County, Missouri, 63368, United States

    O FALLON, MO 633683870

    Phone: (636) 329-1774

    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.

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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.

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 63128)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1285655142 for Unknown Individual, then check state licensing separately.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Saint Louis, Missouri may find Unknown Individual in results; validate coverage separately.
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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