Unknown Individual – Social Worker, NPI 1396171054

Unknown Individual is a healthcare provider. based in Tahlequah, Oklahoma. specializing in Social Worker. The NPI Number for Unknown Individual is 1396171054

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1396171054
Phone
(918) 718-9345
Address
705 GOINGSNAKE ST
Deactivation Date
18 February 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 705 GOINGSNAKE ST

    TAHLEQUAH, OK 744643115

    Phone: (918) 718-9345

    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.

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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 74464)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1396171054 as the unique 10-digit identifier.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Social Worker. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Tahlequah?
Unknown Individual currently maps to Tahlequah, Oklahoma in this extract.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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