Unknown Individual – Clinical Social Worker, NPI 1407018443

Unknown Individual is a healthcare provider. based in Minneapolis, Minnesota. specializing in Clinical Social Worker. They hold a License No. 21187 (MN). The NPI Number for Unknown Individual is 1407018443

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1407018443
Phone
(612) 348-2233
Address
525 PORTLAND AVE # MC963
Deactivation Date
7 February 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 525 PORTLAND AVE # MC963

    MINNEAPOLIS, MN 554151533

    Phone: (612) 348-2233

    Fax: (612) 466-6357

    Type: Mailing

  • 1821 University Ave W Ste 225

    Saint Paul, MN 551042895

    Phone: (999) 999-9999

    Type: Location

  • 2277 Highway 36 W Ste 306

    Roseville, MN 551133830

    Phone: (612) 353-4434

    Type: Location

  • 7400 Metro Blvd Ste 350

    Edina, MN 554392357

    Phone: (651) 501-8208

    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 55415)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1407018443.
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 taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Minneapolis, Minnesota in the data we show; additional addresses may exist on the full record.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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