Active NPI
Kathleen R. Knox-Whitney, LISW
- Clinical Social Worker
- Columbia, SC
National Provider Identifier
1174869333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4247
- Practice address
- 132 Forest Fern Rd
Columbia, SC 29212-2923 - Phone
- (803) 896-8034
- Fax
- (803) 896-7451
- NPI assigned
- Dec 17, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4247 | SC | Primary |
Addresses
Primary practice location
132 Forest Fern Rd
Columbia, SC 29212-2923
Mailing address
132 Forest Fern Rd
Columbia, SC 29212-2923
Phone (803) 896-8034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4247 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355702400000",
"number": "1174869333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 FOREST FERN RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292122923",
"telephone_number": "803-896-8034",
"fax_number": "803-896-7451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 FOREST FERN RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292122923",
"telephone_number": "803-896-8034",
"fax_number": "803-896-7451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOX-WHITNEY",
"first_name": "KATHLEEN",
"middle_name": "R.",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-17",
"last_updated": "2012-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "4247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.