Heidi Lee Knoblock, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-10469 Issued in AZ

Practice address

3324 E. Ray Rd. #2174
Higley, AZ 85236

Phone

(480) 200-8050

NPI assigned

Apr 18, 2007

Last updated

Feb 2, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1346466026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3324 E. RAY RD. #2174",
            "city": "HIGLEY",
            "state": "AZ",
            "postal_code": "85236",
            "telephone_number": "480-200-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3324 E. RAY RD. #2174",
            "city": "HIGLEY",
            "state": "AZ",
            "postal_code": "85236",
            "telephone_number": "480-200-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOBLOCK",
        "first_name": "HEIDI",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-10469",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "10469",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Higley Unified School District #60
• Higley Unified School District #60
• Kevin Hughes, RN
• Industrial Hand and Physical Therapy Inc
• Anthony Edward Kimball, DPM
• Lauren's Institute for Education
• Joshua L Leahy, PA C
• Debbie Lynn Mackinlay, RN
• Lori Rae Martin, MSW
• Kathleen Petkovsky, PT/CHT

• Clinical Social Worker in Higley, AZ
• Providers in Higley, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.