Callie Marie Knutson, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61523582 Issued in WA

Practice address

12B N University Rd
Spokane Valley, WA 99206-5205

Phone

(509) 891-5900

Fax

(509) 232-6646

NPI assigned

Feb 22, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Neurotherapy Northwest PLLC

  • Mental Health Counselor
  • Spokane Valley, WA
  • NPI 1306269378

  Single Specialty

  Medicare reassignment NPD
• Indigo Gardens LLC

  • Mental Health Counselor
  • Spokane, WA
  • NPI 1144988866
  Medicare reassignment
• Power Wellness PLLC

  • Physical Therapist
  • Spokane Valley, WA
  • NPI 1427539618

  Single Specialty

  NPD
• Thrive Psychiatric Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Coeur D Alene, ID
  • NPI 1508793282

  Single Specialty

  NPD (past)
• Wellness Enhancement Center of Idaho Inc.

  • Community/Behavioral Health Agency
  • Coeur D Alene, ID
  • NPI 1417370990
  NPD (past)

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1467046334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12B N UNIVERSITY RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065205",
            "telephone_number": "509-891-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12B N UNIVERSITY RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065205",
            "telephone_number": "509-891-5900",
            "fax_number": "509-232-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUTSON",
        "first_name": "CALLIE",
        "middle_name": "MARIE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61523582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta L Knorr, MD
• Brieann Knott
• Daniel Craig Knott, LMP
• Ann Knudson
• Brian L Knutson, PA
• Sheri Belle Knutson, CBT
• Joseph Francis Kocon Jr., RN
• Deepthi Kodali, M.D.
• Elizabeth Irene Koep, MSW
• Sally Ellen Koester, LMP

• Clinical Social Worker in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.