Unknown Individual – Clinical Social Worker, NPI 1144386293

Unknown Individual is a healthcare provider. based in Shoreview, Minnesota. specializing in Clinical Social Worker. They hold a License No. 01765 (MN). The NPI Number for Unknown Individual is 1144386293

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1144386293
Phone
(651) 484-9554
Address
470 HIGHWAY 96 W
Deactivation Date
20 December 2023
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

  • Voyageur Highway, Island Lake, Shoreview, Ramsey County, Minnesota, 55126, United States

    SUITE 280

    SHOREVIEW, MN 551261996

    Phone: (651) 484-9554

    Fax: (651) 484-0703

    Type: Location

  • 1281, Raymond Avenue, North Saint Anthony Park, Saint Anthony Park, Saint Paul, Ramsey County, Minnesota, 55108, United States

    SAINT PAUL, MN 551081817

    Phone: (651) 644-4408

    Type: Mailing

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.

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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 55126)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1144386293 for Unknown Individual, then check state licensing separately.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Shoreview, Minnesota in our summary view.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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