Healthcare Provider Details

I. General information

NPI: 1962318402
Provider Name (Legal Business Name): CAITLIN KNIPPER LCSW, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 S BROADWAY STE 4627
WHITE PLAINS NY
10601-4413
US

IV. Provider business mailing address

75 S BROADWAY STE 4627
WHITE PLAINS NY
10601-4413
US

V. Phone/Fax

Practice location:
  • Phone: 508-769-1184
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CAITLIN KNIPPER
Title or Position: MEMBER/MANAGER
Credential: LCSW
Phone: 508-769-1184