Unknown Individual – Clinical Social Worker, NPI 1023148095

Unknown Individual is a healthcare provider. based in Kilmarnock, Virginia. specializing in Clinical Social Worker. They hold a License No. 0904006522 (VA). The NPI Number for Unknown Individual is 1023148095

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1023148095
Phone
(804) 435-9800
Address
375 LOGAN LODGE RD
Deactivation Date
23 August 2022
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

Provider Addresses for Unknown Individual

  • 375 LOGAN LODGE RD

    KILMARNOCK, VA 224823508

    Phone: (804) 435-9800

    Type: Mailing

  • 77 SOUTH MAIN STREET

    KILMARNOCK, VA 22482

    Phone: (804) 435-9800

    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.

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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 22482)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1023148095 uniquely identifies Unknown Individual in U.S. healthcare data.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Clinical Social Worker for Unknown Individual. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Kilmarnock, Virginia. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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