Individual provider Active NPI

William Anthony Knothe, LCSW-4

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1285739508
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
044588 Issued in NY
Practice address
224 Alexander St
Rochester, NY 14607-4002
Phone
(585) 922-7770
Fax
(585) 922-1985
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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 075130 NY
Clinical Social Worker 1041C0700X 044588 NY Primary

Addresses

Primary practice location

224 Alexander St
Rochester, NY 14607-4002

Mailing address

PO Box 10787
Rochester, NY 14610-0787
Phone (585) 922-1122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100120000223 NY Practitioner - Clinical Social Worker 1254473838 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Dec 17, 2009 Accepting new patients
Rochester General Hospital CurrentSince Dec 17, 2009 Accepting new patients
Rochester General Hospital Current Accepting new patients

Locations

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

224 Alexander St
Rochester, NY 14607
Phone (585) 922-7770

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281571200000",
    "number": "1285739508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10787",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146100787",
            "telephone_number": "585-922-1122",
            "fax_number": "585-922-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 ALEXANDER ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146074002",
            "telephone_number": "585-922-7770",
            "fax_number": "585-922-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOTHE",
        "first_name": "WILLIAM",
        "middle_name": "ANTHONY",
        "credential": "LCSW-4",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2010-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075130",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "044588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.