Provider Demographics
NPI:1366454324
Name:KNAPP, DENNIECE ROSE (LCSW LMFT)
Entity Type:Individual
Prefix:MS
First Name:DENNIECE
Middle Name:ROSE
Last Name:KNAPP
Suffix:
Gender:F
Credentials:LCSW LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2912-A S DOUGLAS BLVD
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73130-7179
Mailing Address - Country:US
Mailing Address - Phone:405-737-1132
Mailing Address - Fax:405-737-1112
Practice Address - Street 1:2912-A S DOUGLAS BLVD
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73130-7179
Practice Address - Country:US
Practice Address - Phone:405-737-1132
Practice Address - Fax:405-737-1112
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3551041C0700X
OK379106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK731476957001OtherBCBS OF OK