Individual provider Active NPI

Jodi Knouff, LISW

  • Clinical Social Worker
  • Saint Marys, OH
National Provider Identifier
1548419468
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0009812 Issued in OH
Practice address
720 Armstrong Street
St. Marys, OH 45885-1800
Phone
(419) 394-7451
Fax
(419) 394-7452
NPI assigned
Sep 16, 2008
Last updated
May 14, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2009

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 I-0009812 OH Primary

Addresses

Primary practice location

720 Armstrong Street
St. Marys, OH 45885-1800

Mailing address

530 S Main St
Lima, OH 45804-1240
Phone (419) 222-1168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-0009812OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242259200000",
    "number": "1548419468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S MAIN ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458041240",
            "telephone_number": "419-222-1168",
            "fax_number": "419-222-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 ARMSTRONG STREET",
            "city": "ST. MARYS",
            "state": "OH",
            "postal_code": "458851800",
            "telephone_number": "419-394-7451",
            "fax_number": "419-394-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOUFF",
        "first_name": "JODI",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2009-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0009812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.