MS. LISA ANN KNUDSON LICSW - NPI 1639246952 - Social Worker in Chaska, MN

Q: What is Lisa Knudson's NPI number?

The NPI number for Lisa Knudson is 1639246952. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Q: What is Lisa Knudson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Knudson was last updated on January 6, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Lisa Ann Knudson Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LISA ANN KNUDSON LICSW (NPI 1639246952) is an individual social worker in Chaska, Minnesota, licensed in Minnesota (10527) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1639246952

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMS. LISA ANN KNUDSONCredential: LICSW

Location Address562 BAVARIA LNChaska, MN 55318-4597

Mailing Address8780 Reflections RdChanhassen, MN 55317-4003 · (952) 484-3509 · Fax (952) 934-2147

Phone(952) 484-3509

Fax(952) 934-2147

Sole ProprietorYes

Medical School CMSOtherGraduated 1991

Enumeration DateNovember 30, 2006

Last NPPES UpdateJanuary 6, 2015

✔ NPI 1639246952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MN · 10527

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

562 BAVARIA LN, Chaska, MN 55318

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Other Identifiers 1

Medicaid4138228110MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Lisa Ann Knudson Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719048404

PECOS Enrollment IDI20081213000189

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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