Individual provider Active NPI

Gloria Anne Knoll, LCSW

  • Social Worker
  • Centennial, CO
National Provider Identifier
1144524620
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
991131 Issued in CO
Practice address
16738 E Crestline LN
Centennial, CO 80015-4005
Phone
(720) 870-1620
NPI assigned
Dec 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 991131 CO Primary

Addresses

Primary practice location

16738 E Crestline LN
Centennial, CO 80015-4005

Mailing address

16738 E Crestline LN
Centennial, CO 80015-4005
Phone (720) 870-1620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20151207000126 CO Practitioner - Clinical Social Worker 0648570119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
991131COMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Primary Care Clinic Inc CurrentSince May 31, 2018 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Feb 3, 2021 Accepting new patients
Gloria Knoll, LCSW, Inc Current Accepting new patients

Locations

14991 E Hampden Ave
Ste 110
Aurora, CO 80014
Phone (303) 343-9500

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

7000 E Belleview Ave
Ste 203
Greenwood Village, CO 80111
Phone (303) 773-2605

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.

NPI Registry JSON

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293408000000",
    "number": "1144524620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16738 E CRESTLINE LN",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800154005",
            "telephone_number": "720-870-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16738 E CRESTLINE LN",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800154005",
            "telephone_number": "720-870-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOLL",
        "first_name": "GLORIA",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-27",
        "last_updated": "2010-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "991131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.