Individual provider Active NPI

Tina M Knorr

  • Clinical Social Worker
  • Stroudsburg, PA
National Provider Identifier
1235387077
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017131 Issued in PA
Practice address
134 Broad St
Suite 7
Stroudsburg, PA 18360-1590
Phone
(570) 421-7868
Fax
(570) 421-7820
NPI assigned
Sep 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7318-123 WI
Clinical Social Worker 1041C0700X CW017131 PA Primary

Addresses

Primary practice location

134 Broad St
Suite 7
Stroudsburg, PA 18360-1590

Mailing address

134 Broad St
Suite 7
Stroudsburg, PA 18360-1590
Phone (570) 421-7868

Other identifiers 1

IdentifierTypeStateIssuer
39399300MedicaidWI

Other names 1

  • Tina M Kassha 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
7318-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Counseling and Consulting, Inc. Past 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": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1235387077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 BROAD ST",
            "address_2": "SUITE 7",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601590",
            "telephone_number": "570-421-7868",
            "fax_number": "570-421-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 BROAD ST",
            "address_2": "SUITE 7",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601590",
            "telephone_number": "570-421-7868",
            "fax_number": "570-421-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNORR",
        "first_name": "TINA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-05",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7318-123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39399300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "KASSHA",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.