Unknown Individual – Clinical Social Worker, NPI 1477626653

Unknown Individual is a healthcare provider. based in St. paul, Minnesota. specializing in Clinical Social Worker. They hold a License No. 718 (MN). The NPI Number for Unknown Individual is 1477626653

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1477626653
Phone
(651) 647-1900
Address
2550 UNIVERSITY AVE. WEST - SUITE 435-S
Deactivation Date
1 November 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 2550 UNIVERSITY AVE. WEST - SUITE 435-S

    MIDWEST CENTER FOR PERSONAL AND FAMILY DEVELOPMENT

    ST. PAUL, MN 551141096

    Phone: (651) 647-1900

    Fax: (651) 647-1861

    Type: Mailing

  • Egg & I, 2550, University Avenue West, Saint Paul, Ramsey County, Minnesota, 55114, United States

    435S

    SAINT PAUL, MN 551141052

    Phone: (651) 647-7900

    Fax: (651) 647-1861

    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.

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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 55114)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1477626653?
NPI 1477626653 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use St. Paul, Minnesota as the reference point for Unknown Individual, then confirm.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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