Individual provider Active NPI

Lindsay Eileen Knapp, LMSW

  • Clinical Social Worker
  • Centreville, MI
National Provider Identifier
1750651535
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801085875 Issued in MI
Practice address
677 E Main St
Suite a
Centreville, MI 49032-8524
Phone
(269) 467-1001
Fax
(269) 467-3072
NPI assigned
Jan 10, 2012
Last updated
Jan 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 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 6801085875 MI Primary

Addresses

Primary practice location

677 E Main St
Suite a
Centreville, MI 49032-8524

Mailing address

677 E Main St
Suite a
Centreville, MI 49032-8524
Phone (269) 467-1001

Other identifiers 1

IdentifierTypeStateIssuer
1708146MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120224000011 MI Practitioner - Clinical Social Worker 5799943536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit PointeGroup PAC ID 4587551189, 24 clinicians

Practice addresses (Care Compare)

140 Michigan Ave W
Battle Creek, MI 49017-3602
Phone (269) 966-2866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Pointe Clinical CurrentSince Jul 10, 2017 Accepting new patients

Locations

8472 Reliable Pkwy
Chicago, IL 60686

105 S Superior St
Albion, MI 49224
Phone (517) 629-2191

140 Michigan Ave W
Battle Creek, MI 49017
Phone (269) 966-1460

215 Roosevelt Ave E
Battle Creek, MI 49037
Phone (269) 969-6126

3630 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 966-1460

3630 Capital Ave SW
Ste 1
Battle Creek, MI 49015
Phone (269) 979-8333

Organizations & group practices 1

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": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1750651535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 E MAIN ST",
            "address_2": "SUITE A",
            "city": "CENTREVILLE",
            "state": "MI",
            "postal_code": "490328524",
            "telephone_number": "269-467-1001",
            "fax_number": "269-467-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 E MAIN ST",
            "address_2": "SUITE A",
            "city": "CENTREVILLE",
            "state": "MI",
            "postal_code": "490328524",
            "telephone_number": "269-467-1001",
            "fax_number": "269-467-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "LINDSAY",
        "middle_name": "EILEEN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1708146",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, MI

Sources for this page

Verify at the official NPI Registry.