Kelsi Alyssa Knick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005429 Issued in NC

Practice address

3948 Browning PL
Suite 200
Raleigh, NC 27609-6510

Phone

(919) 782-8730

Fax

(919) 872-8731

NPI assigned

Mar 19, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1083738777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 VALLEY HAVEN DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276033303",
            "telephone_number": "919-602-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3948 BROWNING PL",
            "address_2": "SUITE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096510",
            "telephone_number": "919-782-8730",
            "fax_number": "919-872-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNICK",
        "first_name": "KELSI",
        "middle_name": "ALYSSA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106486",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Henry Knelson, M.D.
• Krista Kness
• Brandon Alyn Knettel, PH.D.
• Christine Knettel
• Evelyn Artemis Knez, LCSWA
• Alan Wicker Knight, RPH
• Daniel Knight, RN
• Elizabeth McHone Knight
• Jillian Knight
• Lydia May Knight, CRNA

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.