Provider Demographics
NPI:1588146617
Name:KNIPFING, ANDREW (LMSW)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:KNIPFING
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 FERNWOOD PARK
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14609-2639
Mailing Address - Country:US
Mailing Address - Phone:585-324-9289
Mailing Address - Fax:
Practice Address - Street 1:940 FERNWOOD PARK
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14609-2639
Practice Address - Country:US
Practice Address - Phone:585-324-9289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-05
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool