Unknown Individual – Clinical Social Worker, NPI 1093751877

Unknown Individual is a healthcare provider. based in San antonio, Texas. specializing in Clinical Social Worker. They hold a License No. 04075 (TX). The NPI Number for Unknown Individual is 1093751877

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1093751877
Phone
(800) 257-8715
Address
616 W RUSSELL PL
Deactivation Date
18 September 2025
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

  • 616, West Russell Place, Alta Vista, San Antonio, Bexar County, Texas, 78212, United States

    SAN ANTONIO, TX 782123658

    Phone: (800) 257-8715

    Fax: (800) 819-1655

    Type: Location

  • 103, Hughes Street, Bel Air, Marshall, Harrison County, Texas, 75672, United States

    MARSHALL, TX 756727621

    Phone: (903) 935-4157

    Type: Mailing

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 78212)

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

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1093751877.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in San Antonio, Texas?
For routing, start with San Antonio, Texas for Unknown Individual, then verify phone and hours locally.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

MS. MARY I. ACOSTA GRANGER (LCSW)

Clinical Social Worker
San Antonio, La Paz, Pedro Domingo Murillo, La Paz, 11144, Bolivia
NPI: 1851383897

MR. DONALD L. KNOLL (M.S.W.)

Addiction (Substance Use Disorder) Counselor
406, Wood Shadow Street, San Antonio, Bexar County, Texas, 78216, United States
NPI: 1649263237

MS. GEORGETTE ANN TREZVANT (MSW)

Clinical Social Worker
895 HALEY CT
NPI: 1154315943

MR. DANIEL HERNANDEZ (LCSW)

Clinical Social Worker
7103, West Beverly Mae Drive, San Antonio, Bexar County, Texas, 78229, United States
NPI: 1649265075

MRS. MITZI ZEPHRONIA WOOD (LCSW)

Clinical Social Worker
16007 Via Shavano, Suite 102
NPI: 1225023740
San Antonio, Parroquia Quebrada Honde de Guache, Municipio Andrés Eloy Blanco, Lara, Región Centroccidental, Venezuela
NPI: 1548258932
3851 ROGER BROOKE DR
NPI: 1467442434

TERRY DION COWLES (MSW)

Clinical Social Worker
BROOKE ARMY MEDICAL CENTER
NPI: 1568452399