Individual provider Active NPI

Dana Lynn Knighten, LCSW

  • Clinical Social Worker
  • Hammond, LA
National Provider Identifier
1588001051
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9110 Issued in LA
Practice address
2255 W Thomas St
Hammond, LA 70401-2827
Phone
(985) 507-5671
Fax
(225) 567-1854
NPI assigned
May 23, 2013
Last updated
May 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 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 9110 LA Primary

Addresses

Primary practice location

2255 W Thomas St
Hammond, LA 70401-2827

Mailing address

PO Box 992
Natalbany, LA 70451-0992
Phone (985) 507-5671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140725000221 LA Practitioner - Clinical Social Worker 6002032158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians

Practice addresses (Care Compare)

814 SW Evangeline Trwy
Suite 344
Lafayette, LA 70501-8240
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9110LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical, P.C. CurrentSince Jan 28, 2023 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

1303 US Highway 127 S
Ste 104
Frankfort, KY 40601

814 SW Evangeline Trwy
Lafayette, LA 70501
Phone (337) 222-3707

4464 Devine St
Ste M
Columbia, SC 29205
Phone (803) 386-7146

8913 Town and Country Cir
Knoxville, TN 37923
Phone (253) 861-0739

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1588001051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 992",
            "city": "NATALBANY",
            "state": "LA",
            "postal_code": "704510992",
            "telephone_number": "985-507-5671",
            "fax_number": "225-567-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 W THOMAS ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704012827",
            "telephone_number": "985-507-5671",
            "fax_number": "225-567-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHTEN",
        "first_name": "DANA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "9110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.