Unknown Individual – Clinical Social Worker, NPI 1023011566

Unknown Individual is a healthcare provider. based in Salt lake city, Utah. specializing in Clinical Social Worker. They hold a License No. 133259-3501 (UT). The NPI Number for Unknown Individual is 1023011566

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1023011566
Phone
(801) 487-2196
Address
230 HAMPTON AVE
Deactivation Date
22 November 2023
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

  • 230, Hampton Avenue, Central City / Liberty-Wells, Salt Lake City, Salt Lake County, Utah, 84111, United States

    SALT LAKE CITY, UT 841114611

    Phone: (801) 487-2196

    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 84111)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1023011566 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Clinical Social Worker for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Salt Lake City, Utah for Unknown Individual; download NPPES for the complete set.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1023011566. Always confirm identity and privileges with the practice and licensing boards.

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