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Deactivated NPI 1053447748 Deactivated / Inactive NPI Male Practitioner

Ivan E Kneisel , LMSW

Social Worker - Clinical • Lawrence, KS

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ivan Kneisel has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 26, 2007
NPI Deactivation Date August 05, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Ivan Kneisel, LMSW was a registered Social Worker - Clinical practicing in Lawrence, KS. Throughout an active medical career spanning 14 years, Ivan Kneisel provided care at the practice location at 200 MAINE ST STE A until profile deactivation on 2021-08-05.

Practice Location & Contact Primary Location

Practice Address

200 Maine St Ste A

Lawrence, KS 660441396

Telephone 7858439192
Fax 7858436744
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Lawrence, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.1 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
207 Specialists

Practicing in Lawrence, KS (2512 Statewide)

Telehealth Adoption Rate
7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License KS 6254

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Timothy Mccord , DO

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1003012592

Doctor of Osteopathic Medicine (D.O.)

Rhonda Dye , LMSW

Social Worker - Clinical

NPI 1003151044

Licensed Master Social Worker

Alex Kerr , LMSW

Social Worker - Clinical

NPI 1013164631

Licensed Master Social Worker

Amy Hill , LMSW

Social Worker

NPI 1013179142

Licensed Master Social Worker

Maria Ilardi , ARNP

Clinical Nurse Specialist - Psychiatric/Mental Health, Adult

NPI 1023089018

Advanced Registered Nurse Practitioner

Mary Rico , LMSW

Social Worker

NPI 1033463757

Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 05, 2021

Record deactivated on August 05, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 200 MAINE ST STE A, LAWRENCE, KS 660441396 (Tel: 7858439192)

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Updated Business Mailing Address July 08, 2007

Registered at 200 MAINE ST STE A, LAWRENCE, KS 660441396 (Tel: 7858439192)

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Provider Name / Credentials Updated July 08, 2007

Recorded as IVAN KNEISEL, LMSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker (License #6254 in KS)

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Initial NPI Registration & Enumeration February 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053447748
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2007
Last Update: July 08, 2007
Deactivation Date: August 05, 2021

Mailing Address

200 Maine St Ste A

Lawrence, KS 660441396

Phone: 7858439192

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.