Unknown Individual – Clinical Social Worker, NPI 1992719041

Unknown Individual is a healthcare provider. based in Beaumont, Texas. specializing in Clinical Social Worker. They hold a License No. 16081 (TX). The NPI Number for Unknown Individual is 1992719041

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1992719041
Phone
(409) 981-8579
Address
3420 VETERANS CIR
Deactivation Date
29 January 2026
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

  • Veterans Circle, Beaumont, Jefferson County, Texas, 77702, United States

    BEAUMONT, TX 777072552

    Phone: (409) 981-8579

    Fax: (409) 981-8563

    Type: Location

  • Duncan Drive, Beaumont, Jefferson County, Texas, 77707, United States

    BEAUMONT, TX 777074913

    Phone: (409) 860-3722

    Type: Mailing

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 77707)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1992719041.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Beaumont, Texas in our summary view.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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