Unknown Individual – Clinical Social Worker, NPI 1154439875

Unknown Individual is a healthcare provider. based in Draper, Utah. specializing in Clinical Social Worker. They hold a License No. 3631323501 (UT). The NPI Number for Unknown Individual is 1154439875

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1154439875
Phone
(801) 553-2508
Address
13155 SHADOWLANDS LN
Deactivation Date
14 February 2024
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

  • 13155, Shadowlands Lane, Somerville in Draper, Draper, Salt Lake County, Utah, 84020, United States

    DRAPER, UT 840208719

    Phone: (801) 553-2508

    Type: Mailing

  • 433, South 500 East, American Fork, Utah County, Utah, 84003, United States

    AMERICAN FORK, UT 840032527

    Phone: (801) 216-8000

    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 84020)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1154439875 for Unknown Individual, then check state licensing separately.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Draper, Utah may find Unknown Individual in results; validate coverage separately.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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