Individual provider Active NPI

Susan Gail Knight, LCSW-C (MSW)

  • Clinical Social Worker
  • Annapolis, MD
National Provider Identifier
1427482041
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15982 Issued in MD
Practice address
1410 Forest Drive, # 24
Annapolis, MD 21403-1446
Phone
(410) 349-6371
NPI assigned
Aug 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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 15982 MD Primary

Addresses

Primary practice location

1410 Forest Drive, # 24
Annapolis, MD 21403-1446

Mailing address

430 Rivendell LN
Severna Park, MD 21146-3551
Phone (410) 349-6371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2015 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15982MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1427482041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 RIVENDELL LN",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463551",
            "telephone_number": "410-349-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 FOREST DRIVE, # 24",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214031446",
            "telephone_number": "410-349-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "SUSAN",
        "middle_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "LCSW-C (MSW)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.