Individual provider Active NPI

Danielle Knack

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1679606511
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24692 Issued in CA
Practice address
5650 Mount Ackerly Dr
San Diego, CA 92111-4016
Phone
(858) 292-9523
Fax
(858) 292-9529
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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 24692 CA Primary

Addresses

Primary practice location

5650 Mount Ackerly Dr
San Diego, CA 92111-4016

Mailing address

PO Box 151461
San Diego, CA 92175-1461
Phone (619) 929-8929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 14, 2022 through Apr 14, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24692CAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
National Center for Deaf Advocacy Past Accepting new patients
San Diego Deaf Mental Health Services Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1679606511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151461",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921751461",
            "telephone_number": "619-929-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 MOUNT ACKERLY DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921114016",
            "telephone_number": "858-292-9523",
            "fax_number": "858-292-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNACK",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "24692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.