Unknown Individual – Clinical Social Worker, NPI 1801894209
Clinical Social Worker
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
4205, Lancaster Lane North, Plymouth, Hennepin County, Minnesota, 55442, United States
SUITE 111
PLYMOUTH, MN 55441
Phone: (763) 546-6624
Fax: (763) 322-5006
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)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55441)
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