Unknown Individual – Clinical Social Worker, NPI 1962561720

Unknown Individual is a healthcare provider. based in Carson city, Nevada. specializing in Clinical Social Worker. They hold a License No. 4917-C (NV). The NPI Number for Unknown Individual is 1962561720

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1962561720
Phone
(775) 687-7573
Address
4126 TECHNOLOGY WAY
Deactivation Date
9 September 2022
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

  • 4126, Technology Way, Carson City, Nevada, 89706, United States

    SUITE 102

    CARSON CITY, NV 897062009

    Phone: (775) 687-7573

    Fax: (775) 687-7544

    Type: Mailing

  • 3650, South Pointe, Laughlin, Clark County, Nevada, 89029, United States

    SUITE 208

    LAUGHLIN, NV 890290424

    Phone: (702) 298-5313

    Fax: (702) 298-0188

    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 89706)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1962561720 — is the standard way to identify this listing.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Carson City, Nevada; more addresses can appear in NPPES.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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