Unknown Individual – Clinical Social Worker, NPI 1619104700

Unknown Individual is a healthcare provider. based in Midland, Texas. specializing in Clinical Social Worker. They hold a License No. 15447 (TX). The NPI Number for Unknown Individual is 1619104700

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1619104700
Phone
(432) 687-6272
Address
2206 CIMMARON DR
Deactivation Date
30 March 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

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Provider Addresses for Unknown Individual

  • 2206, Cimmaron Drive, Colony Place, Midland, Midland County, Texas, 79705, United States

    MIDLAND, TX 797057461

    Phone: (432) 687-6272

    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.

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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 79705)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1619104700?
NPI 1619104700 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
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 associated with Midland?
Public fields place Unknown Individual around Midland, Texas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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