Unknown Individual – Clinical Social Worker, NPI 1619492147

Unknown Individual is a healthcare provider. based in Walla walla, Washington. specializing in Clinical Social Worker. They hold a License No. SC60724645 (WA). The NPI Number for Unknown Individual is 1619492147

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1619492147
Phone
(509) 520-9715
Address
401 W MAIN ST # 101
Deactivation Date
12 September 2025
Data current as of
20 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

  • 101, West Main Street, Walla Walla, Walla Walla County, Washington, 99362, United States

    WALLA WALLA, WA 993622837

    Phone: (509) 520-9715

    Type: Location

  • Falcon Drive, Brasenose, Didcot, West Hagbourne, South Oxfordshire, Oxfordshire, South East, England, OX11 6HT, United Kingdom

    COLLEGE PLACE, WA 99324

    Phone: (951) 233-9950

    Type: Mailing

  • 1096 SE FALCON DR

    COLLEGE PLACE, WA 993242057

    Phone: (951) 233-9950

    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 99362)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1619492147 on file in the registry.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Walla Walla, Washington as the reference point for Unknown Individual, then confirm.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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