Individual provider Active NPI

Brenda Kay Knox

  • Social Worker
  • Fayetteville, NC
National Provider Identifier
1598906604
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I.0008895 Issued in OH
Practice address
3637 Heather Brooke Dr
Fayetteville, NC 28306-9715
Phone
(610) 920-2105
NPI assigned
Mar 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I.0008895 OH Primary
Social Worker 104100000X 954371 OH

Addresses

Primary practice location

3637 Heather Brooke Dr
Fayetteville, NC 28306-9715

Mailing address

3637 Heather Brooke Dr
Fayetteville, NC 28306-9715
Phone (610) 920-2105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
954371OHMDSocial Worker
I.0008895OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind PC Clinical CurrentSince Feb 28, 2025 Accepting new patients
Aware Resources, Inc. Clinical PastSince Jul 17, 2002 Accepting new patients

Locations

2530 Meridian Pkwy
Fl 3
Durham, NC 27713
Phone (919) 389-7316

Organizations & group practices 2

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": "1237420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1598906604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 HEATHER BROOKE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283069715",
            "telephone_number": "610-920-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 HEATHER BROOKE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283069715",
            "telephone_number": "610-920-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOX",
        "first_name": "BRENDA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-19",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.0008895",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "954371",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.