HEATHER KNICKERBOCKER LCSW NPI 1295443620

NPI Information

  • NPI: 1295443620
  • Provider Name: HEATHER KNICKERBOCKER, LCSW
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Individual
  • Address: 6 DANFORTH DR
    EASTON, PA
    ZIP 18045
  • Phone: (610) 555-5550

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NPI Details

Heather Knickerbocker, LCSW is an adolescent and children mental health clinic center in Easton, PA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. Heather Knickerbocker, LCSW NPI is 1295443620. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6 DANFORTH DR
EASTON, PA
ZIP 18045-820
Phone: (610) 555-5550

The enumeration date for this NPI number is 11/15/2022 and was last updated on 11/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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