Unknown Individual – Clinical Social Worker, NPI 1063473270

Clinical Social Worker

Unknown Individual is a healthcare provider. based in Crookston, Minnesota. specializing in Clinical Social Worker. They hold a License No. 07051 (MN). The NPI Number for Unknown Individual is 1063473270

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1063473270

Phone

(218) 281-3940

Address

PO BOX 603

Deactivation Date

12 September 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

PO BOX 603
603 BRUCE ST
CROOKSTON, MN 567160603
Phone: (218) 281-3940
Fax: (218) 281-6262
Type: Mailing
603, Bruce Street, Crookston, Polk County, Minnesota, 56716, United States
CROOKSTON, MN 567160603
Phone: (218) 281-3940
Fax: (218) 281-6262
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 56716)

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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 1063473270 for Unknown Individual.

Should I call the clinic if Unknown Individual is inactive here?

If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Clinical Social Worker. Clinical services aligned with this taxonomy classification.

Which community is linked to Unknown Individual?

Unknown Individual shows a connection to Crookston, Minnesota in registry-derived data.

Can I verify credentials using only NPI?

NPI confirms identity in the directory; licensure and board certification require separate checks.