Unknown Individual – School Social Worker, NPI 1205936341

Unknown Individual is a healthcare provider. based in Minneapolis, Minnesota. specializing in School Social Worker. They hold a License No. 15485 (MN). The NPI Number for Unknown Individual is 1205936341

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1205936341
Phone
(612) 827-2631
Address
4101 HARRIET AVE
Deactivation Date
27 September 2024
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

  • Judson Memorial Baptist Church, 4101, Harriet Avenue South, King Field, Southwest, Minneapolis, Hennepin County, Minnesota, 55409, United States

    MINNEAPOLIS, MN 554091442

    Phone: (612) 827-2631

    Type: Location

  • 5125, 38th Avenue South, Minnehaha, Nokomis, Minneapolis, Hennepin County, Minnesota, 55417, United States

    MINNEAPOLIS, MN 554171649

    Phone: (612) 827-2631

    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.

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 55409)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1205936341.
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 School Social Worker. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Minneapolis, Minnesota?
If you are local to Minneapolis, Minnesota, Unknown Individual may be relevant to your search.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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