Unknown Individual – Social Worker, NPI 1114129772

Unknown Individual is a healthcare provider. based in Spring, Texas. specializing in Social Worker. They hold a License No. S10976 (TX). The NPI Number for Unknown Individual is 1114129772

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1114129772
Phone
(281) 379-4075
Address
9411 FENCHURCH DR
Deactivation Date
16 June 2021
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

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Provider Addresses for Unknown Individual

  • 9411, Fenchurch Drive, Champion Forest, Harris County, Texas, 77379, United States

    SPRING, TX 773796652

    Phone: (281) 379-4075

    Fax: (281) 379-5282

    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.

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 77379)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1114129772 as the unique 10-digit identifier.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Social Worker. Clinical services aligned with this taxonomy classification.
Where in Texas is Unknown Individual registered?
Use Spring, Texas as the headline location for Unknown Individual here.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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