Active NPI
Cynthia Lee Knoell, LICSW
- Clinical Social Worker
- Montrose, MN
National Provider Identifier
1114216124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14743
- Practice address
- 315 Garfield Ave S
Montrose, MN 55363-8534 - Phone
- (612) 715-0513
- NPI assigned
- Mar 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 and National Provider Directory roles.
-
- Clinical Psychologist
- Oakdale, MN
- NPI 1609614957
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Compassion Collective MN LLC
Practice addresses (Care Compare)
1304 University Ave NE
Suite 301
Minneapolis, MN 55413-1200
Phone (612) 716-2648
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230616003035 | MN | Practitioner - Clinical Social Worker | 3476911827 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14743 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compassion Collective MN LLC | Current | Accepting new patients | |
| Optimal Brain MN, PLLC | Current | Accepting new patients | |
| Integrative Health, LLC | Current | Accepting new patients |
Locations
1304 University Ave NE
Ste 301
Minneapolis, MN 55413
Phone (612) 716-2648
992 Inwood Ave N
Saint Paul, MN 55128
Phone (612) 842-9814
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 | 14743 | MN | Primary |
Addresses
Primary practice location
315 Garfield Ave S
Montrose, MN 55363-8534
Mailing address
315 Garfield Ave S
Montrose, MN 55363-8534
Phone (612) 715-0513
Other practice location 1
900 Deerfield Rd
Watertown, MN 55388-9271
Phone (952) 955-1342
Other names 1
- Cynthia Lee Brunette
NPI Registry JSON
{
"created_epoch": "1301443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665878400000",
"number": "1114216124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 GARFIELD AVE S",
"city": "MONTROSE",
"state": "MN",
"postal_code": "553638534",
"telephone_number": "612-715-0513",
"fax_number": "612-715-0513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 GARFIELD AVE S",
"city": "MONTROSE",
"state": "MN",
"postal_code": "553638534",
"telephone_number": "612-715-0513"
}
],
"practiceLocations": [
{
"address_1": "900 Deerfield Rd",
"address_purpose": "LOCATION",
"city": "Watertown",
"state": "MN",
"postal_code": "553889271",
"country_code": "US",
"telephone_number": "952-955-1342",
"fax_number": "952-955-1342",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNOELL",
"first_name": "CYNTHIA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-30",
"last_updated": "2022-10-16",
"certification_date": "2022-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "14743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CYNTHIA",
"last_name": "BRUNETTE",
"middle_name": "LEE",
"credential": "LICSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Montrose, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2022; 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.