Unknown Individual – Clinical Social Worker, NPI 1689800153

Unknown Individual is a healthcare provider. based in Virginia, Minnesota. specializing in Clinical Social Worker. They hold a License No. 01092 (MN). The NPI Number for Unknown Individual is 1689800153

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1689800153
Phone
(218) 749-2881
Address
PO BOX 1188
Deactivation Date
8 November 2024
Data current as of
20 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

  • Holiday Inn Morgantown - University Area, 1188, Pine View Drive, Tanglewood, Morgantown, Monongalia County, West Virginia, 26505, United States

    VIRGINIA, MN 557921188

    Phone: (218) 749-2881

    Fax: (218) 749-3806

    Type: Mailing

  • 3203, 3rd Avenue West, Hibbing, Saint Louis County, Minnesota, 55746, United States

    HIBBING, MN 55746

    Phone: (218) 263-9237

    Fax: (218) 262-3150

    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 55792)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1689800153 as the unique 10-digit identifier.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Virginia, Minnesota as the reference point for Unknown Individual, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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