Individual provider Active NPI

James John Knipler, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1033458799
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22106 Issued in MN
Practice address
7625 Metro Blvd
Minneapolis, MN 55439-3053
Phone
(952) 945-4000
NPI assigned
Jan 31, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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 22106 MN Primary

Addresses

Primary practice location

7625 Metro Blvd
Minneapolis, MN 55439-3053

Mailing address

7625 Metro Blvd
Minneapolis, MN 55439-3053
Phone (952) 945-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20130228000179 MN Practitioner - Clinical Social Worker 3476708272 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22106MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Clinic of Psychology Inc CurrentSince Aug 9, 2013 Accepting new patients
Volunteers of America MN/Wi Past Accepting new patients
Volunteers of America Minnesota Past Accepting new patients
Volunteers of America of MN Clinical Past Accepting new patients

Locations

4240 Park Glen Rd
St Louis Park, MN 55416
Phone (612) 925-6033

4027 County Road 25
St Louis Park, MN 55416
Phone (612) 925-6033

Organizations & group practices 4

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": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1033458799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 METRO BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554393053",
            "telephone_number": "952-945-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 METRO BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554393053",
            "telephone_number": "952-945-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIPLER",
        "first_name": "JAMES",
        "middle_name": "JOHN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.