Unknown Individual – Clinical Social Worker, NPI 1376566083

Unknown Individual is a healthcare provider. based in Festus, Missouri. specializing in Clinical Social Worker. They hold a License No. 000076 (MO). The NPI Number for Unknown Individual is 1376566083

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1376566083
Phone
(636) 933-6440
Address
37 ASHFORD PL
Deactivation Date
4 September 2024
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

  • 37, Ashford Place, Festus, Joachim Township, Jefferson County, Missouri, 63028, United States

    FESTUS, MO 630285605

    Phone: (636) 933-6440

    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 63028)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1376566083 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Festus, Missouri because that is what the record indicates for Unknown Individual.
What if Festus, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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