Healthcare Provider Details

I. General information

NPI: 1194635516
Provider Name (Legal Business Name): LINDSEY KNOEPP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824 E BROAD ST
ELYRIA OH
44035-6559
US

IV. Provider business mailing address

4383 VALLEYSIDE RD
CLEVELAND OH
44135-1047
US

V. Phone/Fax

Practice location:
  • Phone: 440-289-5905
  • Fax:
Mailing address:
  • Phone: 440-289-5905
  • 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: LINDSEY KNOEPP
Title or Position: OWNER
Credential: LISW
Phone: 440-289-5905