Elise Ralston Knapp, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21512 Issued in MN

Practice address

2000 Old West Main Street, Suite 300
Red Wing, MN 55066-1987

Phone

(651) 764-0911

Fax

(651) 327-2082

NPI assigned

Dec 5, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1770851867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OLD WEST MAIN STREET, SUITE 300",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550661987",
            "telephone_number": "651-764-0911",
            "fax_number": "651-327-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OLD WEST MAIN STREET, SUITE 300",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550661987",
            "telephone_number": "651-764-0911",
            "fax_number": "651-327-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "ELISE",
        "middle_name": "RALSTON",
        "name_prefix": "Mrs.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "21512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Michele Kingston, AAS
• Nicole Kirchner, LPCC
• Curtis Francis Kline
• Kayla Agnetta Klippen
• Melissa Ann Kluesner, PA-C
• Elizabeth Ann Knapp, MBA, RDN, LD
• Rachel Marie Koenig, PA-C
• Nicole Kerry Kohagen
• Thomas J Koll, OD
• Nancy D Kolstad, PHARM.D.

• Clinical Social Worker in Red Wing, MN
• Providers in Red Wing, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.