Unknown Individual – Clinical Social Worker, NPI 1033188511

Unknown Individual is a healthcare provider. based in Salt lake city, Utah. specializing in Clinical Social Worker. They hold a License No. 3598 (HI). The NPI Number for Unknown Individual is 1033188511

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1033188511
Phone
(801) 699-7212
Address
5395 CHEVY CHASE CIR
Deactivation Date
21 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

  • 5395 CHEVY CHASE CIR

    SALT LAKE CITY, UT 841177260

    Phone: (801) 699-7212

    Fax: (801) 964-9075

    Type: Mailing

  • 95, Mahalani Street, Kahului, Maui County, Hawaii, 96793, United States

    SUITE A

    WAILUKU, HI 967932521

    Phone: (808) 269-3157

    Fax: (808) 242-4762

    Type: Location

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 84117)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1033188511.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Salt Lake City, Utah as a primary anchor for Unknown Individual unless the record lists multiple sites.
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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