Provider Demographics
NPI:1376384784
Name:KNAPPER, JAMIE (BSW)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:KNAPPER
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 GLENDALE AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25303-2538
Mailing Address - Country:US
Mailing Address - Phone:304-421-2196
Mailing Address - Fax:
Practice Address - Street 1:703 GLENDALE AVE
Practice Address - Street 2:
Practice Address - City:SOUTH CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25303-2538
Practice Address - Country:US
Practice Address - Phone:304-421-2196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker