Individual provider Active NPI

Susan M. Knopf, LCSW

  • Clinical Social Worker
  • Redwood Valley, CA
National Provider Identifier
1659499499
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS8336 Issued in CA
Practice address
6991 N State St
Redwood Valley, CA 95470-9629
Phone
(707) 485-5115
Fax
(707) 485-1184
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 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 LCS8336 CA Primary

Addresses

Primary practice location

6991 N State St
Redwood Valley, CA 95470-9629

Mailing address

PO Box 387
Calpella, CA 95418-0387
Phone (707) 485-5115

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ04822ZMedicaidCA
LCS8336OtherCACA LICENSE#

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
LCS8336CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1659499499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 387",
            "city": "CALPELLA",
            "state": "CA",
            "postal_code": "954180387",
            "telephone_number": "707-485-5115",
            "fax_number": "707-485-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6991 N STATE ST",
            "city": "REDWOOD VALLEY",
            "state": "CA",
            "postal_code": "954709629",
            "telephone_number": "707-485-5115",
            "fax_number": "707-485-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOPF",
        "first_name": "SUSAN",
        "middle_name": "M.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS8336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ04822Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE#",
            "identifier": "LCS8336",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.