Mark Paul Knippenberg, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

986061 Issued in CO

Practice address

2305 E Arapahoe Rd Ste 218
Centennial, CO 80122-1538

Phone

(303) 798-3857

Fax

(303) 798-3857

NPI assigned

Aug 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Clinical Social Worker

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1093821050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 E ARAPAHOE RD STE 218",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801221538",
            "telephone_number": "303-798-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 E ARAPAHOE RD STE 218",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801221538",
            "telephone_number": "303-798-3857",
            "fax_number": "303-798-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIPPENBERG",
        "first_name": "MARK",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "986061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kmak Breastfeeding Support Service LLC
• Marianne Kmak, RN, IBCLC
• Holly Knapp, DPT
• Lindsey Knapp, RDN
• Christina Marie Knight, MA, LPC
• Gretchen Knipshild
• Gloria Anne Knoll, LCSW
• Knowles Consulting and Psychological Services
• Odessia Knowles, PHD
• Tiffany R Knudsen, PA-C

• Clinical Social Worker in Centennial, CO
• Providers in Centennial, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.