Unknown Individual – Clinical Social Worker, NPI 1013008549

Unknown Individual is a healthcare provider. based in Kilfore, Texas. specializing in Clinical Social Worker. They hold a License No. 14246 (). The NPI Number for Unknown Individual is 1013008549

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1013008549
Phone
(903) 986-9114
Address
1100 STONE ROAD
Deactivation Date
18 February 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience9
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1100 STONE ROAD

    SUITE 102

    KILFORE, TX 756625494

    Phone: (903) 986-9114

    Fax: (903) 988-0243

    Type: Location

  • 1100, Stone Road, Country Club Estates, Kilgore, Gregg County, Texas, 75662, United States

    SUITE 102

    KILGORE, TX 756625494

    Phone: (903) 986-9114

    Fax: (903) 988-0243

    Type: Mailing

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.

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Medicare Enrollment & Revalidation

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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 ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75662)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1013008549.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Texas is Unknown Individual registered?
Use Kilfore, Texas as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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