Individual provider Active NPI

Rachel Blaise Knauss, ACSW

  • Clinical Social Worker
  • San Jose, CA
National Provider Identifier
1124804984
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
114551 Issued in CA
Practice address
2170 The Alameda Ste 102
San Jose, CA 95126-1132
Phone
(833) 878-7864
NPI assigned
Sep 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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 114551 CA Primary

Addresses

Primary practice location

2170 The Alameda Ste 102
San Jose, CA 95126-1132

Mailing address

3887 Corina Way
Palo Alto, CA 94303-4507
Phone (650) 521-4862

Other names 1

  • Ms. Rachel Blaise Habermann Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
114551CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Najmi Family Therapy Inc PastSince Sep 10, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1124804984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3887 CORINA WAY",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943034507",
            "telephone_number": "650-521-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 THE ALAMEDA STE 102",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261132",
            "telephone_number": "833-878-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAUSS",
        "first_name": "RACHEL",
        "middle_name": "BLAISE",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "114551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "HABERMANN",
            "middle_name": "BLAISE",
            "prefix": "MS.",
            "credential": "MSSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.