Doctor Name: | MR. CHAD KNIGHT |
NPI Number: | 1407186703 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 2427C |
Business Practice Address: | 1989 Sardis Dr Boaz, AL - 359562344 |
Business Phone Number: | 2565932371 |
Business Fax Number: | |
Mailing Address: | 604 8th Ave Ne, JACKSONVILLE |
State: | AL |
Postal Code: | 362651728 |
Phone Number: | 2563433504 |
Fax Number: | |
NPI Enumeration Date: | 01/08/2010 |
NPI Last Update Date: | 02/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2427C |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |