Individual provider Active NPI

Steffany Knauer

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1588930341
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
254018 Issued in KY
Practice address
4211 Poplar Level Rd
Ste 101
Louisville, KY 40213-1527
Phone
(502) 805-1121
NPI assigned
Mar 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 5740 KY
Clinical Social Worker 1041C0700X 254018 KY Primary

Addresses

Primary practice location

4211 Poplar Level Rd
Ste 101
Louisville, KY 40213-1527

Mailing address

4211 Poplar Level Rd
Ste 101
Louisville, KY 40213-1527
Phone (502) 805-1121

Other practice location 1

2650 W Broadway
Louisville, KY 40211-1333
Phone (502) 589-8600 ext. 1275

Other practice location 2

2650 W Broadway
Louisville, KY 40211-1333
Phone (502) 589-8600 ext. 1275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20191127001846 KY Practitioner - Clinical Social Worker 0143653493 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Zen Den LLCGroup PAC ID 3678977980, 2 clinicians

Practice addresses (Care Compare)

4211 Poplar Level Rd
Suite 101
Louisville, KY 40213-1527
Phone (502) 805-1121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5740KYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Zen Den, LLC Clinical CurrentSince Jun 28, 2021 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Community Medical Associates, Inc. Clinical CurrentSince Nov 1, 2019 Accepting new patients

Locations

4211 Poplar Level Rd
Ste 101
Louisville, KY 40213
Phone (502) 805-1121

4123 Dutchmans Ln
Ste 515
Louisville, KY 40207
Phone (502) 899-6900

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

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": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1588930341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 POPLAR LEVEL RD",
            "address_2": "STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131527",
            "telephone_number": "502-805-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 POPLAR LEVEL RD",
            "address_2": "STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131527",
            "telephone_number": "502-805-1121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 W Broadway",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402111333",
            "country_code": "US",
            "telephone_number": "502-589-8600 x1275",
            "fax_number": "502-589-8771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2650 W Broadway",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402111333",
            "country_code": "US",
            "telephone_number": "502-589-8600 x1275",
            "fax_number": "502-589-8771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNAUER",
        "first_name": "STEFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "5740",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "254018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.