Individual provider Active NPI

Pamela Ann Knaffle, LMSW

  • Clinical Social Worker
  • Cheboygan, MI
National Provider Identifier
1992142236
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801091159 Issued in MI
Practice address
3840 Riggsville Rd
Cheboygan, MI 49721-9036
Phone
(231) 420-2506
NPI assigned
May 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2013

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 6801091159 MI Primary

Addresses

Primary practice location

3840 Riggsville Rd
Cheboygan, MI 49721-9036

Mailing address

3840 Riggsville Rd
Cheboygan, MI 49721-9036
Phone (231) 420-2506

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

LicenseStateTypeSpecialty
6801091159MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Caught Dreamin' Therapy, LLC Clinical CurrentSince Jan 7, 2024 Accepting new patients
Thunder Bay Community Health Service, Inc Past Accepting new patients
Cheboygan Area High School - Counseling Room Past Accepting new patients

Locations

1025 W Washington St
Ste B
Marquette, MI 49855
Phone (906) 256-2951

Organizations & group practices 3

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": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1992142236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 RIGGSVILLE RD",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497219036",
            "telephone_number": "231-420-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 RIGGSVILLE RD",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497219036",
            "telephone_number": "231-420-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAFFLE",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheboygan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.