Individual provider Active NPI

John C. Knott, LCSW

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1033123294
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1801-C Issued in AR
Practice address
600 S McKinley St
Suite 400
Little Rock, AR 72205-5202
Phone
(501) 663-4673
NPI assigned
Jul 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1801-C AR Primary

Addresses

Primary practice location

600 S McKinley St
Suite 400
Little Rock, AR 72205-5202

Mailing address

3600 Gresham Dr
Conway, AR 72034-7298
Phone (501) 663-4673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070126000318 AR Practitioner - Clinical Social Worker 0345241766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conway Counseling and Psychological Services PLLCGroup PAC ID 4183933781, 30 clinicians

Practice addresses (Care Compare)

855 S German LN
Suite 1
Conway, AR 72034-6479
Phone (501) 358-6606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Counseling & Psychological Services, PLLC CurrentSince Sep 1, 2015 Accepting new patients
Counseling Associates, Inc. Past Accepting new patients
Living Hope Medical Services LLC Past Accepting new patients

Locations

855 S German Ln
Ste 1
Conway, AR 72034
Phone (501) 358-6606

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033123294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GRESHAM DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347298",
            "telephone_number": "501-663-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MCKINLEY ST",
            "address_2": "SUITE 400",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055202",
            "telephone_number": "501-663-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOTT",
        "first_name": "JOHN",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1801-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.