Individual provider Active NPI

Debra Knafl, LCSW CADC

  • Clinical Social Worker
  • Downers Grove, IL
National Provider Identifier
1295929982
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1108 Palmer St
Downers Grove, IL 60516-2803
Phone
(630) 479-3755
NPI assigned
Sep 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 479.3755 IL
Clinical Social Worker 1041C0700X IL Primary

Addresses

Primary practice location

1108 Palmer St
Downers Grove, IL 60516-2803

Mailing address

1108 Palmer St
Downers Grove, IL 60516-2803
Phone (630) 479-3755

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
479.3755ILMDAddiction (Substance Use Disorder) Counselor
150.008902ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Keeping Safe Social Services 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": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1295929982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 PALMER ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605162803",
            "telephone_number": "630-479-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 PALMER ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605162803",
            "telephone_number": "630-479-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAFL",
        "first_name": "DEBRA",
        "credential": "LCSW CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "479.3755",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.