Individual provider Active NPI

Suzanne Millar Knapp, LMSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1497026421
Registry record updated Apr 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2022-0126 Issued in NM
Practice address
1116 Landman Dr NE
Albuquerque, NM 87112-6024
Phone
(239) 910-2205
NPI assigned
Jan 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 29322 MD
Clinical Social Worker 1041C0700X LC200002715 DC
Clinical Social Worker 1041C0700X 12957807 UT
Clinical Social Worker 1041C0700X 082213 NY
Clinical Social Worker 1041C0700X 114683 CA
Clinical Social Worker 1041C0700X SWB-2022-0126 NM Primary
Clinical Social Worker 1041C0700X I.2204055 OH

Addresses

Primary practice location

1116 Landman Dr NE
Albuquerque, NM 87112-6024

Mailing address

1116 Landman Dr NE
Albuquerque, NM 87112-6024
Phone (239) 910-2205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20141022001656 NY Practitioner - Clinical Social Worker 3375764095 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114683CAMDClinical Social Worker
LC200002715DCMDClinical Social Worker
SWB-2022-0126NMMDClinical Social Worker
I.2204055OHMDClinical Social Worker
12957807UTMDClinical Social Worker
29322MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of the Diocese of Rockville Centre CurrentSince Jul 31, 2017 Accepting new patients
Catholic Charities of the Diocese of Rockville Centre Current Accepting new patients
Catholic Charities of the Diocese of Rockville Centre CurrentSince Jul 31, 2017 Accepting new patients
Coordinated Behavioral Care Ipa Inc Past Accepting new patients

Locations

333 N Main St
Freeport, NY 11520
Phone (516) 623-3322

90 Cherry Ln
Hicksville, NY 11801
Phone (516) 733-7040

1727 N Ocean Ave
Medford, NY 11763
Phone (631) 578-0652

Organizations & group practices 4

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": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777161600000",
    "number": "1497026421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 LANDMAN DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871126024",
            "telephone_number": "239-910-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 LANDMAN DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871126024",
            "telephone_number": "239-910-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "SUZANNE",
        "middle_name": "MILLAR",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-23",
        "last_updated": "2026-04-26",
        "certification_date": "2026-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "29322",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200002715",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "12957807",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082213",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "114683",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2022-0126",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2204055",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.