Individual provider Active NPI

Jennifer Leigh Knutson, MSW, LICSW

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1508150632
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60330031 Issued in WA
Practice address
10103 N Division St Ste 109
Spokane, WA 99218-2346
Phone
(509) 467-1156
Fax
(509) 468-0162
NPI assigned
Jun 6, 2011
Last updated
Dec 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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 LW60330031 WA Primary

Addresses

Primary practice location

10103 N Division St Ste 109
Spokane, WA 99218-2346

Mailing address

1206 W Valewood CT
Spokane, WA 99218-2952
Phone (509) 954-9044

Other identifiers 1

IdentifierTypeStateIssuer
LW60330031OtherWAWASHINGTON STATE LICENSE

Other names 1

  • Miss Jennifer Leigh Marshall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 16, 2025 through Apr 16, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LW60330031WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Karen C Lindner PHD PS PastSince Dec 28, 2022 Accepting new patients

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, 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": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1508150632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 W VALEWOOD CT",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992182952",
            "telephone_number": "509-954-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 N DIVISION ST STE 109",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992182346",
            "telephone_number": "509-467-1156",
            "fax_number": "509-468-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUTSON",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60330031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE LICENSE",
            "identifier": "LW60330031",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MARSHALL",
            "middle_name": "LEIGH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.