Unknown Individual – Clinical Social Worker, NPI 1194725630

Unknown Individual is a healthcare provider. based in Walla walla, Washington. specializing in Clinical Social Worker. They hold a License No. LH00005137 (WA). The NPI Number for Unknown Individual is 1194725630

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1194725630
Phone
(509) 525-0572
Address
408 W POPLAR ST
Deactivation Date
25 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • 408, West Poplar Street, Walla Walla, Walla Walla County, Washington, 99362, United States

    WALLA WALLA, WA 993622831

    Phone: (509) 525-0572

    Fax: (509) 525-0576

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 99362)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1194725630 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.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Clinical Social Worker for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Walla Walla, Washington for Unknown Individual based on available NPPES addresses.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

Similar Providers

PO BOX 1663
NPI: 1023017365
PO BOX 1663
NPI: 1497754352

MARTI K BRADLEY (MSW ACSW LICSW)

Clinical Social Worker
30 W MAIN ST STE 207
NPI: 1184635146
Jonathan M. Wainwright Memorial VA Medical Center, 77, Wainwright Drive, Walla Walla, Walla Walla County, Washington, 99362, United States
NPI: 1043321466
Jonathan M. Wainwright Memorial VA Medical Center, 77, Wainwright Drive, Walla Walla, Walla Walla County, Washington, 99362, United States
NPI: 1003928052

MR. EUGENE JOSEPH DOTOLO (LICSW)

Clinical Social Worker
302, Northeast Cargill Avenue, College Place, Walla Walla County, Washington, 99324, United States
NPI: 1699887182

Emmaus Counseling Center

Mental Health Counselor
2330 Eastgate St Ste 105
NPI: 1891898953

LISA SMYTH (LICSW)

Addiction (Substance Use Disorder) Counselor
30 W MAIN ST STE 304
NPI: 1346345436

NORTHWEST COUNSELING SOLUTIONS

Clinical Social Worker
315 E MAIN ST STE A
NPI: 1902901002