Unknown Individual – Clinical Social Worker, NPI 1295710200

Unknown Individual is a healthcare provider. based in Mcchord afb, Washington. specializing in Clinical Social Worker. They hold a License No. S08175 (TX). The NPI Number for Unknown Individual is 1295710200

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1295710200
Phone
(253) 982-3684
Address
690 BARNES BLVD
Deactivation Date
28 January 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

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Provider Addresses for Unknown Individual

  • McChord Medical Clinic, 690, Barnes Boulevard, Pierce County, Washington, 98438, United States

    62 MDOS/SGOH BEHAVIORAL HEALTH SERVICES

    MCCHORD AFB, WA 984381303

    Phone: (253) 982-3684

    Fax: (253) 982-9037

    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.

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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 98438)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1295710200 for Unknown Individual.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Clinical Social Worker for Unknown Individual. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Mcchord Afb, Washington?
For routing, start with Mcchord Afb, Washington for Unknown Individual, then verify phone and hours locally.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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