Individual provider Active NPI

Delaney Knottnerus, MSW, CDP

  • Clinical Social Worker
  • Bellevue, WA
National Provider Identifier
1770035404
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC60889890 Issued in WA
Practice address
999 164TH Ave NE
Bellevue, WA 98008-3518
Phone
(425) 747-4937
NPI assigned
Oct 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60695077 WA
Clinical Social Worker 1041C0700X SC60889890 WA Primary

Addresses

Primary practice location

999 164TH Ave NE
Bellevue, WA 98008-3518

Mailing address

999 164TH Ave NE
Bellevue, WA 98008-3518
Phone (425) 747-4937

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

LicenseStateTypeSpecialty
CP60695077WAMDAddiction (Substance Use Disorder) Counselor
SC60889890WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Youth Eastside Services Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1770035404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 164TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980083518",
            "telephone_number": "425-747-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 164TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980083518",
            "telephone_number": "425-747-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOTTNERUS",
        "first_name": "DELANEY",
        "credential": "MSW, CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-28",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60695077",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60889890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.