Tasha Petropoulos Knob, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW013684 Issued in PA

Practice address

1012 Childs Ave
Drexel Hill, PA 19026-4028

Phone

(484) 332-0978

Fax

(484) 452-6080

NPI assigned

Oct 2, 2006

Last updated

Oct 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Tasha P. Decker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1699868190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 CHILDS AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190264028",
            "telephone_number": "484-332-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 CHILDS AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190264028",
            "telephone_number": "484-332-0978",
            "fax_number": "484-452-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOB",
        "first_name": "TASHA",
        "middle_name": "PETROPOULOS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TASHA",
            "last_name": "DECKER",
            "middle_name": "P.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yesle Kim, D.M.D.
• Yong Mook Kim, M.D.
• Peter L King, D.P.M.
• Frank Kishel, PHARMD
• Suzanne Kelly Kline, PA-C
• Victor Dragon Ko, M.D.
• Gurpreet S Kochar, MD
• Geoffrey Lane Koff, M.D.
• Milad Kosa, D.O.
• Michele A Kossey, MD

• Clinical Social Worker in Drexel Hill, PA
• Providers in Drexel Hill, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.