Provider Demographics
NPI:1124046693
Name:KNAPP, CHRISTINE (MSW,CSW-PIP)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:KNAPP
Suffix:
Gender:F
Credentials:MSW,CSW-PIP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 W 63RD PL
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-5058
Mailing Address - Country:US
Mailing Address - Phone:605-373-9330
Mailing Address - Fax:605-373-9218
Practice Address - Street 1:2121 W 63RD PL
Practice Address - Street 2:SUITE 100
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-5058
Practice Address - Country:US
Practice Address - Phone:605-373-9330
Practice Address - Fax:605-373-9218
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD13821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD0004773OtherWELLMARK BCBS
SD22158OtherSIOUX VALLEY HEALTH PLAN
SD4237OtherAVERA HEALTH PLAN
SD6570360OtherSD MEDICAID
SDNP2850OtherDAKOTACARE
SD6872Medicare ID - Type Unspecified
SD22158OtherSIOUX VALLEY HEALTH PLAN