Unknown Individual – Clinical Social Worker, NPI 1134191695

Unknown Individual is a healthcare provider. based in Salem, Oregon. specializing in Clinical Social Worker. They hold a License No. L3517 (OR). The NPI Number for Unknown Individual is 1134191695

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1134191695
Phone
(503) 391-2767
Address
4520 CAMELLIA DR S
Deactivation Date
31 May 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

Loading map...

Provider Addresses for Unknown Individual

  • 4520, Camellia Drive South, Liberty, Salem, Marion County, Oregon, 97302, United States

    SALEM, OR 973022409

    Phone: (503) 391-2767

    Fax: (503) 399-1406

    Type: Mailing

  • Plageman Student Health Center, 108, Southwest Memorial Place, Corvallis, Benton County, Oregon, 97331, United States

    530 NORTH WEST 27TH STREET

    CORVALLIS, OR 973390579

    Phone: (541) 766-6152

    Fax: (541) 766-6899

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 97302)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1134191695 as the unique 10-digit identifier.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Salem?
Unknown Individual currently maps to Salem, Oregon 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.

Similar Providers

JUDY A IRVIN (L.C.S.W)

Clinical Social Worker
1845, Commercial Street Southeast, Salem, Marion County, Oregon, 97302, United States
NPI: 1871599134

NANCY KAY GORDON (MSW LCSW)

Clinical Social Worker
855, McGilchrist Street Southeast, South Salem, Salem, Marion County, Oregon, 97302, United States
NPI: 1164421749

HOWARD LAURENCE BROCKMAN (LCSW)

Clinical Social Worker
1620, Commercial Street Southeast, Salem, Marion County, Oregon, 97302, United States
NPI: 1508858952

CARLENE BENSON (MSW, LCSW)

Clinical Social Worker
821, Saginaw Street South, Salem, Marion County, Oregon, 97311, United States
NPI: 1528059870

MS. ELLEN SHARON MARGOLIS (LCSW)

Clinical Social Worker
240, Luther Street South, South Salem, Salem, Marion County, Oregon, 97302, United States
NPI: 1184607822

MS. CHRISTINE ROBINETTE (LCSW)

Clinical Social Worker
3878, Beverly Avenue Northeast, Oak Park, Salem, Marion County, Oregon, 97305, United States
NPI: 1568448231
4035, 12th Street Cutoff Southeast, South Salem, Salem, Marion County, Oregon, 97302, United States
NPI: 1508830530
Salem Post Office, 2;4, Margin Street, Downtown Salem District, Salem, Essex County, Massachusetts, 01970, United States
NPI: 1184684490

MARGO ELIESCU (LCSW)

Clinical Social Worker
835, Saginaw Street South, Salem, Marion County, Oregon, 97311, United States
NPI: 1922068790