Individual provider Active NPI

Jason E Knight, LISW

  • Clinical Social Worker
  • Iowa City, IA
National Provider Identifier
1881993160
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007582 Issued in IA
Practice address
1150 5TH St Ste 270
Iowa City, IA 52241-2933
Phone
(319) 804-9312
Fax
(888) 892-7959
NPI assigned
Mar 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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 007582 IA Primary

Addresses

Primary practice location

1150 5TH St Ste 270
Iowa City, IA 52241-2933

Mailing address

1150 5TH St Ste 270
Iowa City, IA 52241-2933
Phone (319) 804-9312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20140307001492 IA Practitioner - Clinical Social Worker 4880824036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alli Center LLCGroup PAC ID 9638439128, 12 clinicians

Practice addresses (Care Compare)

1150 5TH St
Suite 270
Coralville, IA 52241-2933
Phone (319) 804-9312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alli Center LLC Clinical CurrentSince Jan 1, 2018 Accepting new patients

Locations

1150 5th St
Ste 268
Coralville, IA 52241
Phone (319) 775-0605

1150 5th St
Ste 270
Iowa City, IA 52241
Phone (319) 804-9312

555 Cameron Way
Unit 2
North Liberty, IA 52317
Phone (319) 800-9046

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": "1301011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1881993160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 5TH ST STE 270",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522412933",
            "telephone_number": "319-804-9312",
            "fax_number": "888-892-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 5TH ST STE 270",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522412933",
            "telephone_number": "319-804-9312",
            "fax_number": "888-892-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "JASON",
        "middle_name": "E",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-25",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.