Unknown Individual – Clinical Social Worker, NPI 1033497326

Clinical Social Worker

Unknown Individual is a healthcare provider. based in Rochester, Minnesota. specializing in Clinical Social Worker. They hold a License No. 17382 (MN). The NPI Number for Unknown Individual is 1033497326

Main info

Organization

Inactive

17 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1033497326

Phone

(507) 284-2511

Address

200 1ST ST SW

Deactivation Date

22 March 2021

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5073732384

Graduation Year

2009 (17 years ago)

PAC ID

9436471026

Group Practice PAC ID

4385556703

Professional Enrollment ID

I20141210001580

Contacts

Secure Messaging

smiller67975@ehrdirect.mayoclinicmsg.org

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience14

Completeness85

Years active:0State licenses:1Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

200 1ST ST SW
ROCHESTER, MN 559050001
Phone: (507) 284-2511
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.

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 55905)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 4385556703View full group profile

Name	Specialty	State
ELEANOR O VITA (MD)	-	MN
DR. CARRIE LYNN KERN	Family Practice	WI
BRADY MICHAEL GROSS (MPAS)	Physician Assistant	MN
BOSHENG YANG (M.D.)	-	MN
DR. DEBORAH ANN WINTERS (MD)	Diagnostic Radiology	TN
TODD DONALDSON MILLER (M.D.)	-	MN
KIM WANGEN	-	MN
REESE SARA DRUCKENMILLER (LICSW)	-	MN
KJERSTEN NETT (RD, LD)	-	MN
ALICE MARIE KAASA (CNP)	-	MN

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?

Unknown Individual's NPI is 1033497326 — the number used across U.S. healthcare to identify this provider.

Does inactive status mean Unknown Individual stopped practicing?

Inactive registry status can reflect deactivation, consolidation, or data lag.

What clinical focus is listed for Unknown Individual?

At a glance, Unknown Individual is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.

Where in Minnesota is Unknown Individual registered?

Use Rochester, Minnesota as the headline location for Unknown Individual here.

Can I trust this NPI listing for Unknown Individual?

The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.