Active NPI
Crystal Alisa Knight, LCSW
- Clinical Social Worker
- Daytona Beach, FL
National Provider Identifier
1487823688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW8323
- Practice address
- 160 N Beach St
Daytona Beach, FL 32114-3314 - Phone
- (386) 944-4707
- Fax
- (386) 868-2569
- NPI assigned
- Feb 21, 2008
- 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 | SW8323 | FL | Primary |
Addresses
Primary practice location
160 N Beach St
Daytona Beach, FL 32114-3314
Mailing address
100 Bent Tree Dr
#50
Daytona Beach, FL 32114-1195
Phone (904) 616-8499
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 |
|---|---|---|---|
| SW8323 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345161600000",
"number": "1487823688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BENT TREE DR",
"address_2": "#50",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321141195",
"telephone_number": "904-616-8499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 N BEACH ST",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321143314",
"telephone_number": "386-944-4707",
"fax_number": "386-868-2569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "CRYSTAL",
"middle_name": "ALISA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-21",
"last_updated": "2012-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW8323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.