1467322925 NPI number — MR. PATRICK KEVIN KNOWLES MSW, LSW

Table of content: GABRIELLE STONE KETTLEWELL OTR/L (NPI 1366025157)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467322925 NPI number — MR. PATRICK KEVIN KNOWLES MSW, LSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KNOWLES
Provider First Name:
PATRICK
Provider Middle Name:
KEVIN
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MSW, LSW
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467322925
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/19/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1103 DIAMOND DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEWTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18940-2402
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
415-806-1826
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4 TERRY DR STE 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18940-1838
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-806-1826
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/10/2025

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X , with the licence number:  SW143316 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: SW143316 . This is a "LSW" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".