Provider Demographics
NPI:1205070141
Name:KNAUFF, WALTER SEABURN (LGSW)
Entity type:Individual
Prefix:
First Name:WALTER
Middle Name:SEABURN
Last Name:KNAUFF
Suffix:
Gender:M
Credentials:LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9108 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-2151
Mailing Address - Country:US
Mailing Address - Phone:301-742-5430
Mailing Address - Fax:
Practice Address - Street 1:8811 COLESVILLE RD
Practice Address - Street 2:STE 104
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4327
Practice Address - Country:US
Practice Address - Phone:301-742-5430
Practice Address - Fax:301-585-7392
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-22
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14521104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker