Unknown Individual – Clinical Social Worker, NPI 1760494157

Unknown Individual is a healthcare provider. based in Roseville, Minnesota. specializing in Clinical Social Worker. They hold a License No. 04076 (MN). The NPI Number for Unknown Individual is 1760494157

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1760494157
Phone
(651) 487-1374
Address
2103 COHANSEY BLVD
Deactivation Date
9 January 2025
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

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Provider Addresses for Unknown Individual

  • 2103, Cohansey Boulevard, Roseville, Ramsey County, Minnesota, 55113, United States

    ROSEVILLE, MN 551136629

    Phone: (651) 487-1374

    Type: Mailing

  • VA Medical Center, 1, Veterans Drive, Minneapolis, Hennepin County, Minnesota, 55417, United States

    VA MEDICAL CENTER (00)

    MINNEAPOLIS, MN 554172309

    Phone: (612) 467-4004

    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 55113)

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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 1760494157.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Clinical Social Worker is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Roseville, 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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