Unknown Individual – Clinical Social Worker, NPI 1881666824

Unknown Individual is a healthcare provider. based in Bloomington, Minnesota. specializing in Clinical Social Worker. They hold a License No. 07584 (MN). The NPI Number for Unknown Individual is 1881666824

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1881666824
Phone
(952) 883-7172
Address
8100 34TH AVE S
Deactivation Date
19 April 2023
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

  • 34th Avenue South, Bloomington, Hennepin County, Minnesota, 55425, United States

    MC21110Q

    BLOOMINGTON, MN 554251672

    Phone: (952) 883-7172

    Fax: (952) 883-5395

    Type: Mailing

  • 5625, Cenex Drive, Inver Grove Heights, Dakota County, Minnesota, 55077, United States

    MAIL STOP 33100A

    INVER GROVE HEIGHTS, MN 550771735

    Phone: (651) 552-2600

    Fax: (651) 552-2614

    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 55425)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1881666824 — is the standard way to identify this listing.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
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.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Bloomington, Minnesota in our summary view.
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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