Active NPI
Heidi A Knoll, CSW, ACSW
- Clinical Social Worker
- Pleasantville, NY
National Provider Identifier
1699834457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- NY R 31092
- Practice address
- 52 Weskora Ave
Pleasantville, NY 10570-2715 - Phone
- (914) 747-2008
- Fax
- (914) 747-9466
- NPI assigned
- Dec 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NY R 31092 | NY | Primary |
Addresses
Primary practice location
52 Weskora Ave
Pleasantville, NY 10570-2715
Mailing address
52 Weskora Ave
Pleasantville, NY 10570-2715
Phone (914) 747-2008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 14, 2023 through Mar 14, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NY R 31092 | NY | MD | Clinical Social Worker |
| 031092 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699834457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 WESKORA AVE",
"city": "PLEASANTVILLE",
"state": "NY",
"postal_code": "105702715",
"telephone_number": "914-747-2008",
"fax_number": "914-747-9466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 WESKORA AVE",
"city": "PLEASANTVILLE",
"state": "NY",
"postal_code": "105702715",
"telephone_number": "914-747-2008",
"fax_number": "914-747-9466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOLL",
"first_name": "HEIDI",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "CSW, ACSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "NY R 31092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasantville, NY
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.