Individual provider Active NPI

Cynthia Lee Knoell, LICSW

  • Clinical Social Worker
  • Montrose, MN
National Provider Identifier
1114216124
Registry record updated Oct 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14743 Issued in MN
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.

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 4 clinicians

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230616003035 MN Practitioner - Clinical Social Worker 3476911827 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14743MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Compassion Collective MN LLC CurrentSince Apr 29, 2025 Accepting new patients
Optimal Brain MN, PLLC CurrentSince Jul 21, 2024 Accepting new patients
Integrative Health, LLC CurrentSince Mar 14, 2023 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

Updated by the provider on Oct 16, 2022

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 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 Former name

NPI Registry JSON

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

{
    "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

Verify at the official NPI Registry.