Unknown Individual – Clinical Social Worker, NPI 1114079811

Unknown Individual is a healthcare provider. based in Minden, Nevada. specializing in Clinical Social Worker. They hold a License No. 5275C (NV). The NPI Number for Unknown Individual is 1114079811

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1114079811
Phone
(775) 781-9767
Address
1662 US HIGHWAY 395 N
Deactivation Date
5 October 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1662 US HIGHWAY 395 N

    SUITE 209

    MINDEN, NV 894234329

    Phone: (775) 781-9767

    Fax: (775) 265-1841

    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 89423)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1114079811 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Clinical Social Worker for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Minden, Nevada for Unknown Individual; download NPPES for the complete set.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.