Unknown Individual – Clinical Social Worker, NPI 1053586628

Unknown Individual is a healthcare provider. based in Waxahachie, Texas. specializing in Clinical Social Worker. They hold a License No. 17352 (TX). The NPI Number for Unknown Individual is 1053586628

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1053586628
Phone
(972) 938-2443
Address
803 W MARVIN AVE
Deactivation Date
20 December 2021
Data current as of
20 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

  • 803, West Marvin Avenue, Waxahachie, Ellis County, Texas, 75165, United States

    WAXAHACHIE, TX 751653023

    Phone: (972) 938-2443

    Fax: (214) 295-5652

    Mailing address matches the actual address.

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 75165)

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

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1053586628 in the public NPI dataset.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Waxahachie, Texas in the data we show; additional addresses may exist on the full record.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

Similar Providers

JAMIE WINNINGHAM MCLEMORE (LCSW)

Clinical Social Worker
1710 W HWY 287 BUSINESS
NPI: 1598733701

MS. DEBRA PINSON MATTOCKS (LCSW)

Clinical Social Worker
6012 REEF POINT LN STE C
NPI: 1346307857

ROXANNE WYCKOFF (LCSW)

Clinical Social Worker
203 S COLLEGE ST
NPI: 1598889446
6801 Sanger Ave Ste 101
NPI: 1366628331

MS. MICHELE DENISE MOORE (LCSW-S)

Clinical Social Worker
1001 46TH ST UNIT 403
NPI: 1417125949

ANGE KAY FONTENOT (LCSW)

Clinical Social Worker
112, East Main Street, Waxahachie, Ellis County, Texas, 75165, United States
NPI: 1154572030

JOHN HAIN (LCSW)

Clinical Social Worker
1203, West Marvin Avenue, George C Dillon House, Waxahachie, Ellis County, Texas, 75165, United States
NPI: 1356580146
411 E JEFFERSON ST
NPI: 1437461522

The Gingerbread House

Clinical Social Worker
425 E ROSS ST
NPI: 1568764827