Kayla McKnight, LLMSW

Individual provider Active NPI Clinical Social Worker · White Cloud, MI

NPI 1689285132 · NPPES record last updated Apr 14, 2023

Key facts

NPI
1689285132
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6801107648 (MI)
Practice address
1049 E Newell St
White Cloud, MI 49349-8795
Phone
(231) 689-7330
NPI assigned
Aug 10, 2020
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6801107648MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Newaygo County Mental Health Board Past
since Aug 16, 2020
Accepting new patients
Newaygo County Mental Health Board Past
since Aug 16, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801107648 MI Yes

Addresses

Primary practice location

1049 E Newell St
White Cloud, MI 49349-8795

Mailing address

PO Box 867
White Cloud, MI 49349-0867
Phone (231) 689-7330

Other providers in White Cloud, MI

All providers in White Cloud, MI · Clinical Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.