Active NPI
Judith Alice Knoop, LCSW
- Clinical Social Worker
- Philadelphia, PA
National Provider Identifier
1881765683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW012782
- Practice address
- 1211 Chestnut St Ste 605
Philadelphia, PA 19107-4117 - Phone
- (215) 525-8657
- Fax
- (215) 988-9062
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW012782 | PA | Primary |
| Clinical Social Worker | 1041C0700X | LCSW-12586 | AZ |
Addresses
Primary practice location
1211 Chestnut St Ste 605
Philadelphia, PA 19107-4117
Mailing address
1233 Locust St 3Rd FL
Philadelphia, PA 19107-5400
Phone (215) 985-4448
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1035172530001 | Medicaid | PA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-12586 | AZ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Landstuhl Regional Medical Center | 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.
-
- Military General Acute Care Hospital
- NPI 1407171432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1881765683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 LOCUST ST 3RD FL",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075400",
"telephone_number": "215-985-4448",
"fax_number": "215-985-4952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 CHESTNUT ST STE 605",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074117",
"telephone_number": "215-525-8657",
"fax_number": "215-988-9062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOOP",
"first_name": "JUDITH",
"middle_name": "ALICE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW012782",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-12586",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1035172530001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.