Individual provider Active NPI

De Andrea Knight

  • Clinical Social Worker
  • Burbank, CA
National Provider Identifier
1386045029
Registry record updated May 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
91696 Issued in CA
Practice address
4100 W Alameda Ave Ste 300
Burbank, CA 91505-4153
Phone
(818) 600-2086
NPI assigned
Sep 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 91696 CA Primary

Addresses

Primary practice location

4100 W Alameda Ave Ste 300
Burbank, CA 91505-4153

Mailing address

9431 Haven Ave Ste 100
Rancho Cucamonga, CA 91730-5879
Phone (818) 600-2086

Other practice location 1

9431 Haven Ave Ste 100
Rancho Cucamonga, CA 91730-5879
Phone (818) 600-2086

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
91696CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Deandrea Knight LCSW Inc Clinical Current Accepting new patients
The Center of Resiliency, Inc Clinical Current Accepting new patients
Hillsides PastSince Jul 1, 2021 Accepting new patients

Locations

4100 W Alameda Ave
Ste 300
Burbank, CA 91505
Phone (818) 217-1676

9431 Haven Ave
Ste 100
Rch Cucamonga, CA 91730
Phone (909) 480-1735

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683936000000",
    "number": "1386045029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9431 HAVEN AVE STE 100",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305879",
            "telephone_number": "818-600-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W ALAMEDA AVE STE 300",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054153",
            "telephone_number": "818-600-2086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9431 Haven Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917305879",
            "country_code": "US",
            "telephone_number": "818-600-2086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "DE ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-12",
        "last_updated": "2023-05-13",
        "certification_date": "2023-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "91696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2023; 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.