Kayla Rachelle Knotts, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

113324 Issued in NY

Practice address

320 Carleton Ave
Central Islip, NY 11722-4506

Phone

(304) 266-8604

NPI assigned

Sep 29, 2021

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

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": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1194497073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SENECA ST",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117311039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CARLETON AVE",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117224506",
            "telephone_number": "304-266-8604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Seneca St",
            "address_purpose": "LOCATION",
            "city": "East Northport",
            "state": "NY",
            "postal_code": "117311039",
            "country_code": "US",
            "telephone_number": "304-266-8604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOTTS",
        "first_name": "KAYLA",
        "middle_name": "RACHELLE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "113324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadine Angela Khan, LPN
• Naz Khan, MD
• Raazia Waqar Khan, PA-C
• Sarita Khanijo, M.D
• Kirshenbaum Peruso Kautman LLP
• Erik Thomas Knudsen, DC
• Janine Koehler, RN
• Kenneth John Kopczynski Jr.
• Gregory Paul Krumholz, D.C.
• Kelsey Rose Krumholz

• Social Worker in Central Islip, NY
• Providers in Central Islip, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.