Healthcare Provider Details

I. General information

NPI: 1558935148
Provider Name (Legal Business Name): ELENA KNEPPRATH LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2021
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6514 23RD AVE NE
SEATTLE WA
98115-7032
US

IV. Provider business mailing address

6514 23RD AVE NE
SEATTLE WA
98115-7032
US

V. Phone/Fax

Practice location:
  • Phone: 503-406-8457
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberL11260
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWI.LW.70131348
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: