Provider Demographics
NPI:1699136077
Name:KNAUS, BRANDI (LCSW)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:KNAUS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12065 SUNSET CRATER DR
Mailing Address - Street 2:
Mailing Address - City:PEYTON
Mailing Address - State:CO
Mailing Address - Zip Code:80831-7093
Mailing Address - Country:US
Mailing Address - Phone:719-322-4899
Mailing Address - Fax:805-614-0179
Practice Address - Street 1:12065 SUNSET CRATER DR
Practice Address - Street 2:
Practice Address - City:PEYTON
Practice Address - State:CO
Practice Address - Zip Code:80831-7093
Practice Address - Country:US
Practice Address - Phone:719-322-4899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-14
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099298951041C0700X
CA67455101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical