Individual provider Active NPI

Ellen Christa Knecht, LSW

  • Clinical Social Worker
  • Scranton, PA
National Provider Identifier
1437605847
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW020122 Issued in PA
Practice address
1021 Moosic St
Scranton, PA 18505-4550
Phone
(570) 961-9355
NPI assigned
Aug 27, 2016
Last updated
May 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW131431 PA
Clinical Social Worker 1041C0700X CW020122 PA Primary

Addresses

Primary practice location

1021 Moosic St
Scranton, PA 18505-4550

Mailing address

1021 Moosic St
Scranton, PA 18505-4550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220502001442 PA Practitioner - Clinical Social Worker 0345582359 Reassigns benefits to 1 organization
Practice locations: Scranton, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling and Wellness Center of Scranton LLCGroup PAC ID 3072900547, 7 clinicians

Practice addresses (Care Compare)

1021 Moosic St
Apt 1
Scranton, PA 18505-4550
Phone (570) 961-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW020122PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Soul Knechtions LLC Clinical CurrentSince Feb 8, 2023 Accepting new patients
Counseling & Wellness Center of Scranton LLC CurrentSince Sep 15, 2022 Accepting new patients

Locations

4 Meadow Ave
Scranton, PA 18505
Phone (570) 504-1530

Organizations & group practices 2

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": "1472256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1437605847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 MOOSIC ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185054550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 MOOSIC ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185054550",
            "telephone_number": "570-961-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNECHT",
        "first_name": "ELLEN",
        "middle_name": "CHRISTA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-27",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW131431",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.