Individual provider Active NPI

Joanne Irene Knauer, L.C.S.W.

  • Clinical Social Worker
  • Glenmont, NY
National Provider Identifier
1134424310
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R030275 Issued in NY
Practice address
4 W Bayberry Rd
Glenmont, NY 12077-3029
Phone
(518) 439-1498
NPI assigned
Jan 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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 R030275 NY Primary

Addresses

Primary practice location

4 W Bayberry Rd
Glenmont, NY 12077-3029

Mailing address

4 W Bayberry Rd
Glenmont, NY 12077-3029
Phone (518) 439-1498

Other identifiers 1

IdentifierTypeStateIssuer
030275MedicaidNY

Other names 1

  • Joanne Irene Letscher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 12, 2018 through Feb 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R030275NYMDClinical Social Worker
030275NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1134424310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 W BAYBERRY RD",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "120773029",
            "telephone_number": "518-439-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 W BAYBERRY RD",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "120773029",
            "telephone_number": "518-439-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAUER",
        "first_name": "JOANNE",
        "middle_name": "IRENE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R030275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030275",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "LETSCHER",
            "middle_name": "IRENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glenmont, NY

Sources for this page

Verify at the official NPI Registry.