Active NPI
Joanne Irene Knauer, L.C.S.W.
- Clinical Social Worker
- Glenmont, NY
National Provider Identifier
1134424310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R030275
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030275 | Medicaid | NY |
Other names 1
- Joanne Irene Letscher
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| R030275 | NY | MD | Clinical Social Worker |
| 030275 | NY | MD | Speech-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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.