Individual provider Active NPI

Laura Diane Knopp, MSW, LICSW

  • Clinical Social Worker
  • Fergus Falls, MN
National Provider Identifier
1437326634
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13384 Issued in MN
Practice address
210 N Cascade St Ste 3
Fergus Falls, MN 56537-2254
Phone
(952) 681-2983
Fax
(952) 679-7484
NPI assigned
May 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 121262 IA
Clinical Social Worker 1041C0700X 13384 MN Primary

Addresses

Primary practice location

210 N Cascade St Ste 3
Fergus Falls, MN 56537-2254

Mailing address

PO Box 694
Fergus Falls, MN 56538-0694
Phone (952) 681-2983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20150831003061 MN Practitioner - Clinical Social Worker 8729394143 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
121262IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Laura D Knopp, LLC Clinical CurrentSince Feb 1, 2018 Accepting new patients

Locations

5780 Lincoln Dr
Ste 101
Edina, MN 55436
Phone (952) 681-2983

210 N Cascade St
Ste 3
Fergus Falls, MN 56537
Phone (952) 681-2983

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": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1437326634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 694",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565380694",
            "telephone_number": "952-681-2983",
            "fax_number": "952-679-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N CASCADE ST STE 3",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372254",
            "telephone_number": "952-681-2983",
            "fax_number": "952-679-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOPP",
        "first_name": "LAURA",
        "middle_name": "DIANE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "121262",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "13384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fergus Falls, MN

Sources for this page

Verify at the official NPI Registry.