MARIA J KNICKERBOCKER LCSW
NPI 1689863359
Social Worker - Clinical in Hattiesburg, MS

Q: What is Maria Knickerbocker's NPI number?

The NPI number for Maria Knickerbocker is 1689863359. It was assigned to this individual provider in the NPPES registry on October 18, 2007.

Q: What is Maria Knickerbocker's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since October 18, 2007PECOS EnrolledAccepts Medicare Assignment

118 COLLEGE DR # 5163, HATTIESBURG, MS 39406(601) 266-5163(601) 266-5114 Get Directions Write a Review

NPPES record last updated: October 18, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Maria J Knickerbocker Lcsw NPPES

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

MARIA J KNICKERBOCKER LCSW (NPI 1689863359) is an individual clinical provider in Hattiesburg, Mississippi, licensed in Mississippi (C6975) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1689863359

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMARIA J KNICKERBOCKERCredential: LCSW

Location Address118 COLLEGE DR # 5163Hattiesburg, MS 39406-0001

Mailing Address118 College Dr # 5163Hattiesburg, MS 39406-0001 · (601) 266-5163 · Fax (601) 266-5114

Phone(601) 266-5163

Fax(601) 266-5114

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateOctober 18, 2007

✔ NPI 1689863359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MS · C6975

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

118 COLLEGE DR # 5163, Hattiesburg, MS 39406

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Other Identifiers 1

Medicaid00675504MS

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maria J Knickerbocker Lcsw 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 ID2769897537

PECOS Enrollment IDI20210209002477

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.

Medicare Billing Reassignment

Medicare enrollment records show Maria Knickerbocker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Rural Outreach Center, Inc.

984 mi

Community/Behavioral Health

730 OLEAN RD
East Aurora, NY 14052

Reassigned Medicare billing, New York enrollment
3 clinicians in this Medicare group

NPI 1891311965 (716) 240-2220

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39406 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $51.65 – $159.18

Typical copayment $0.00 (range $12.91 – $39.79)

Most-billed visit code NA

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

HEATHER S BELL MS, CCC-SLP

Speech-Language Pathologist