Laurie Ann Knight Kjoller, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1031522 Issued in MA

Practice address

15071 Shell Point Blvd
Fort Myers, FL 33908-1639

Phone

(239) 415-5549

NPI assigned

Nov 19, 2018

Sex

Female

Sole proprietor

No

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": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1215406228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12483 AFTON CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082407",
            "telephone_number": "239-738-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15071 SHELL POINT BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339081639",
            "telephone_number": "239-415-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KJOLLER",
        "first_name": "LAURIE",
        "middle_name": "ANN KNIGHT",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1031522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Kish, D.C.
• Kismet Professional Services, Inc.
• Sarah Kitchens, RN
• Emily Kite
• Kiwan Dental Care & Dental Implants Center, LLC
• Ryan Lee Kjome, M.D.
• Timothy John Klatt, PA-C
• Garrick Leonard Klaybor, M.D.
• Evelyn Kleiber, CRNA
• Jeffrey Eric Kleiman, DPM

• Clinical Social Worker in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.