Individual provider Active NPI

Iris Lee Knell, LCSW

  • Clinical Social Worker
  • Manhattan Beach, CA
National Provider Identifier
1629137518
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS12727 Issued in CA
Practice address
2100 N Sepulveda Blvd
#30
Manhattan Beach, CA 90266-2948
Phone
(310) 374-3339
Fax
(310) 919-2839
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LCS12727 CA Primary

Addresses

Primary practice location

2100 N Sepulveda Blvd
#30
Manhattan Beach, CA 90266-2948

Mailing address

2100 N Sepulveda Blvd
#30
Manhattan Beach, CA 90266-2948
Phone (310) 374-3339

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCS12727CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629137518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N SEPULVEDA BLVD",
            "address_2": "#30",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662948",
            "telephone_number": "310-374-3339",
            "fax_number": "310-919-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N SEPULVEDA BLVD",
            "address_2": "#30",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662948",
            "telephone_number": "310-374-3339",
            "fax_number": "310-919-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE KNELL",
        "first_name": "IRIS",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS12727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.