Unknown Individual – Clinical Social Worker, NPI 1306959416

Unknown Individual is a healthcare provider. based in White bear lake, Minnesota. specializing in Clinical Social Worker. They hold a License No. 01313 (MN). The NPI Number for Unknown Individual is 1306959416

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1306959416
Phone
(651) 429-0838
Address
5522 W BALD EAGLE BLVD
Deactivation Date
26 July 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

Provider Addresses for Unknown Individual

  • 5522 W BALD EAGLE BLVD

    WHITE BEAR LAKE, MN 551106412

    Phone: (651) 429-0838

    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 55110)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1306959416.
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.
Does Unknown Individual list a practice location?
Patients near White Bear Lake, Minnesota may find Unknown Individual in results; validate coverage separately.
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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