Unknown Individual – Clinical Social Worker, NPI 1104867548

Unknown Individual is a healthcare provider. based in Chaseburg, Wisconsin. specializing in Clinical Social Worker. They hold a License No. 997-123 (WI). The NPI Number for Unknown Individual is 1104867548

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104867548
Phone
(608) 483-2569
Address
E2451 LIETKE LN
Deactivation Date
14 June 2021
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

  • E2451 LIETKE LN

    CHASEBURG, WI 546217535

    Phone: (608) 483-2569

    Type: Mailing

  • 221, West Seminary Street, City of Richland Center, Richland County, Wisconsin, 53581, United States

    RICHLAND CENTER, WI 535812358

    Phone: (608) 649-5781

    Fax: (608) 647-6611

    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.

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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 54621)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1104867548.
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's primary classification?
Clinical Social Worker is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Chaseburg, Wisconsin; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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