Unknown Individual – Social Worker, NPI 1699843789

Unknown Individual is a healthcare provider. based in Bryan, Texas. specializing in Social Worker. They hold a License No. 11556 (TX). The NPI Number for Unknown Individual is 1699843789

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1699843789
Phone
(979) 260-7805
Address
601 MARY LAKE DRIVE
Deactivation Date
17 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

  • 601, Mary Lake Drive, Bryan, Brazos County, Texas, 77801, United States

    BRYAN, TX 77801

    Phone: (979) 260-7805

    Fax: (979) 260-2458

    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 77801)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1699843789 on file in the registry.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Bryan?
Unknown Individual currently maps to Bryan, Texas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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