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IndividualActive

Mike Knickerbocker

LADAC

Counselor - Addiction (Substance Use Disorder)

NPI: 1770847485Warren, Arkansas, 71671(870) 226-9970Male

About Mike Knickerbocker

Mike Knickerbocker, LADAC, is a male healthcare professional specializing in Counselor - Addiction (Substance Use Disorder) with a focus on Addiction (Substance Use Disorder), registered under National Provider Identifier (NPI) number 1770847485.

Their primary practice is located at 412 YORK ST, Warren, Arkansas 71671. Patients can reach the office at (870) 226-9970. Mike Knickerbocker has been NPI-registered since 2012.

Doctor Details

Identity & Credentials

NPI Number
1770847485
Entity Type
Individual
First Name
Mike
Last Name
Knickerbocker
Credential
LADAC
Gender
Male
Sole Proprietor
No
Status
active

Primary Practice Location

Address
412 YORK ST
City
Warren
State
Arkansas
ZIP
71671-3218
Country
United States
Phone
(870) 226-9970
Fax
(870) 226-9972

Specialty & Taxonomy

Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Classification
Counselor
Specialization
Addiction (Substance Use Disorder)
Taxonomy Code
101YA0400X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
412 YORK ST
City
WARREN
State
AR
ZIP
716713218

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Mike Knickerbocker's NPI number?
Mike Knickerbocker's National Provider Identifier (NPI) is 1770847485. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Mike Knickerbocker specialize in?
Mike Knickerbocker specializes in Counselor - Addiction (Substance Use Disorder).
Where is Mike Knickerbocker located?
Mike Knickerbocker practices at 412 YORK ST, Warren, Arkansas 71671. You can reach them by phone at (870) 226-9970.
Does Mike Knickerbocker accept Medicare?
Based on available data, Mike Knickerbocker is not currently enrolled in the Medicare program.
Does Mike Knickerbocker offer telehealth or virtual visits?
Mike Knickerbocker does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Mike Knickerbocker is 1770847485.