Unknown Individual – Clinical Social Worker, NPI 1487732830

Unknown Individual is a healthcare provider. based in St louis park, Minnesota. specializing in Clinical Social Worker. They hold a License No. 2264 (MN). The NPI Number for Unknown Individual is 1487732830

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1487732830
Phone
(952) 381-3434
Address
4330 CEDAR LAKE RD S
Deactivation Date
29 March 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:0State licenses:8Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 4330, Cedar Lake Road South, Cedarhurst, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    ST LOUIS PARK, MN 554163700

    Phone: (952) 381-3434

    Fax: (952) 377-1430

    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 55416)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1487732830 is assigned to Unknown Individual under the national enumeration system.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display St Louis Park, Minnesota because that is what the record indicates for Unknown Individual.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.