IndividualActive
Connor Kimball
NPI 1134859499 · Clinical Social Worker · Minneapolis, MN
Provider details
- NPI number
- 1134859499
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
501 23rd Ave Se
Minneapolis, MN 55455-0447
Phone: (763) 331-2961
Street-level locationGet directions
Mailing address
10520 Mississippi Cir N
Brooklyn Park, MN 55443-1267
Registry dates
- Enumerated
- 2022-06-10
- Last updated
- 2022-06-10
- Certified
- 2022-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.