Provider Demographics
NPI:1033106323
Name:KNAUER-KING, SANDRA LEE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:LEE
Last Name:KNAUER-KING
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-1037
Mailing Address - Country:US
Mailing Address - Phone:302-376-0621
Mailing Address - Fax:302-376-6219
Practice Address - Street 1:401 N BROAD ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-1037
Practice Address - Country:US
Practice Address - Phone:302-376-0621
Practice Address - Fax:302-376-6219
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-01
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-0000375101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE000592373Medicaid
DE229576000OtherMAGELLAN
DE2053830OtherCIGNA
DE2265372000OtherAMERIHEALTH
DE87726OtherUBH
DE1000022284OtherDELAWARE MEDICAID
DE246240OtherCOM PSYCH
CTM0120021OtherCARE FIRST
DEN3H29OtherEMPIRE BLUE CROSS
DE160505OtherMENTAL HEALTH NET
DE00001661567OtherINDEPENDENCE BLUE CROSS
CT001661567OtherPERSONAL CHOICE
CTM0120021OtherCARE FIRST