Active NPI
David R Knapp, LCSW
- Clinical Social Worker
- Altoona, PA
National Provider Identifier
1063518330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW004596L
- Practice address
- 615 Howard Avenue
Suite 214
Altoona, PA 16601 - Phone
- (814) 944-9534
- Fax
- (814) 944-0919
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW004596L | PA | Primary |
Addresses
Primary practice location
615 Howard Avenue
Suite 214
Altoona, PA 16601
Mailing address
PO Box 228
Altoona, PA 16603-0228
Phone (814) 944-9534
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 302772 | Other | PA | UNIVERSITY OF PA |
| 990154 | Other | PA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050406001012 | PA | Practitioner - Clinical Social Worker | 6901853498 | Practice locations: Altoona, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389744000000",
"number": "1063518330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 228",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166030228",
"telephone_number": "814-944-9534",
"fax_number": "814-944-0919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 HOWARD AVENUE",
"address_2": "SUITE 214",
"city": "ALTOONA",
"state": "PA",
"postal_code": "16601",
"telephone_number": "814-944-9534",
"fax_number": "814-944-0919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNAPP",
"first_name": "DAVID",
"middle_name": "R",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2014-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW004596L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY OF PA",
"identifier": "302772",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "990154",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.