Individual provider Active NPI

Dan Arthur Kniffen, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1336179266
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904000931 Issued in VA
Practice address
4100 E Parham Rd Ste B
Richmond, VA 23228-2760
Phone
(804) 755-7323
Fax
(804) 755-1215
NPI assigned
Jul 4, 2006
Last updated
Sep 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904000931 VA Primary

Addresses

Primary practice location

4100 E Parham Rd Ste B
Richmond, VA 23228-2760

Mailing address

4100 E Parham Rd Ste B
Richmond, VA 23228-2760
Phone (804) 755-7323

Other identifiers 1

IdentifierTypeStateIssuer
008909920MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20120319000010 VA Practitioner - Clinical Social Worker 8729247382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4100 E Parham Rd
Suite B
Henrico, VA 23228-2760
Phone (804) 755-7323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dan a Kniffen LCSW LLC CurrentSince May 12, 2016 Accepting new patients

Locations

4100 E Parham Rd
Ste B
Richmond, VA 23228
Phone (804) 755-7323

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1336179266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 E PARHAM RD STE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232282760",
            "telephone_number": "804-755-7323",
            "fax_number": "804-755-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 E PARHAM RD STE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232282760",
            "telephone_number": "804-755-7323",
            "fax_number": "804-755-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIFFEN",
        "first_name": "DAN",
        "middle_name": "ARTHUR",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008909920",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.