Provider Demographics
NPI:1770766438
Name:KNAPP, LYNETTE K (LCSW)
Entity type:Individual
Prefix:
First Name:LYNETTE
Middle Name:K
Last Name:KNAPP
Suffix:
Gender:F
Credentials:LCSW
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Other - Credentials:
Mailing Address - Street 1:VA POLO ALTO HEALTH CARE SYSTEM MENLO PARK DIVISION
Mailing Address - Street 2:795 WILLOW ROAD
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025
Mailing Address - Country:US
Mailing Address - Phone:650-493-5000
Mailing Address - Fax:650-617-2624
Practice Address - Street 1:230 E MARYDALE AVE
Practice Address - Street 2:
Practice Address - City:SOLDOTNA
Practice Address - State:AK
Practice Address - Zip Code:99669-7648
Practice Address - Country:US
Practice Address - Phone:907-262-3119
Practice Address - Fax:907-262-7301
Is Sole Proprietor?:No
Enumeration Date:2007-12-17
Last Update Date:2021-05-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AK11791041C0700X
MI68010692531041C0700X
AKCSWS11791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical