Individual provider Active NPI

Judy Clara Reising-Knapp, MSSW, LCSW

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1467577288
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34001356A Issued in IN
Practice address
445 N Cross Pointe Blvd
Evansville, IN 47715-4010
Phone
(812) 471-4611
Fax
(812) 471-4514
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 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 34001356A IN Primary

Addresses

Primary practice location

445 N Cross Pointe Blvd
Evansville, IN 47715-4010

Mailing address

PO Box 1230
Evansville, IN 47706-1230
Phone (812) 450-6815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20041004000240 IN Practitioner - Clinical Social Worker 1759340045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians

Practice addresses (Care Compare)

445 N Cross Pointe Blvd
Evansville, IN 47715-4013
Phone (812) 476-7200

7200 E Indiana St
Evansville, IN 47715-2753
Phone (812) 476-7200

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
82.57
Promoting interoperability
100
Improvement activities
40
Cost
71.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Hospital, Inc Clinical CurrentSince Aug 1, 2016 Accepting new patients
Deaconess Hospital Inc Clinical CurrentSince Aug 1, 2016 Accepting new patients
Deaconess Hospital, Inc Current Accepting new patients
Deaconess Cross Pointe Past Accepting new patients
Deaconess Cross Pointe Center, LLC Clinical Past Accepting new patients

Locations

445 N Cross Pointe Blvd
Evansville, IN 47715
Phone (812) 402-2003

4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311

7200 E Indiana St
Evansville, IN 47715
Phone (812) 476-7200

1000 Industrial Dr
Owensboro, KY 42301
Phone (270) 689-6800

Organizations & group practices 5

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1467577288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1230",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061230",
            "telephone_number": "812-450-6815",
            "fax_number": "812-471-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 N CROSS POINTE BLVD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477154010",
            "telephone_number": "812-471-4611",
            "fax_number": "812-471-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISING-KNAPP",
        "first_name": "JUDY",
        "middle_name": "CLARA",
        "credential": "MSSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34001356A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.