MEDICARE: HEATHER KNIFFEN MSW/LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	LW0007624	WA

General Provider Information

NPI Number	:	1063832525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER KNIFFEN MSW/LICSW

Provider Business Mailing Address
First Line	:	5713 W MORGANTOWN LN
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99208-4588
Country	:	US
Telephone Number	:	509-679-5244
Fax Number	:	509-275-7916

Provider Business Practice Location Address
First Line	:	5713 W MORGANTOWN LN
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99208-4588
Country	:	US
Telephone Number	:	509-679-5244
Fax Number	:	509-275-7916

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2014
Last Update Date	:	04/01/2026

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