Active NPI
Amanda Lin Knose, LCSW
- Clinical Social Worker
- St Petersburg, FL
National Provider Identifier
1669948014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW18206
- Practice address
- 11901 4TH St N Apt 11202
St Petersburg, FL 33716-1740 - Phone
- (813) 445-3079
- NPI assigned
- Oct 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | SW18206 | FL | Primary |
Addresses
Primary practice location
11901 4TH St N Apt 11202
St Petersburg, FL 33716-1740
Mailing address
11901 4TH St N Apt 11202
St Petersburg, FL 33716-1740
Phone (813) 445-3079
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110825100 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/A | Other |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW18206 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1669948014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11901 4TH ST N APT 11202",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337161740",
"telephone_number": "813-445-3079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11901 4TH ST N APT 11202",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337161740",
"telephone_number": "813-445-3079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOSE",
"first_name": "AMANDA",
"middle_name": "LIN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-23",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW18206",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110825100",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/A",
"affiliation": "N",
"endpointDescription": "N/A",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "N/A",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "N/A",
"address_1": "11901 4th St N Apt 11202",
"city": "St Petersburg",
"state": "FL",
"country_code": "US",
"postal_code": "337161740",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.