Alexandra M Knezo, LICSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW 60315172 Issued in WA

Practice address

3031 Orleans St Ste 101
Bellingham, WA 98226-3557

Phone

(360) 392-2838

NPI assigned

Dec 2, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1003061227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 ORLEANS ST STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982263557",
            "telephone_number": "360-392-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 ORLEANS ST STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982263557",
            "telephone_number": "360-392-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEZO",
        "first_name": "ALEXANDRA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LICSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW 60315172",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079626-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Rai Kloth
• Yaroslav Igorevich Klykov, LMP
• Abigail Knapp
• Bryn Knapp
• Maxwell Knapp
• Whitney Eliza Knickrehm, ND
• Cassandra Lee Knight, EAMP
• Dale Alexander Knight, L.AC.
• Mary Knight, MSW,LICSW
• Rebecca Anne Knight, CNM

• Clinical Social Worker in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.