Stephanie Knowles, LCSW

Individual provider Active NPI Clinical Social Worker · Banner Elk, NC

NPI 1710133012 · NPPES record last updated Aug 18, 2008

Key facts

NPI
1710133012
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
005821 (NC)
Practice address
158 Grandfather Home for Children Way
Hickory Nut Gap Road
Banner Elk, NC 28604
Phone
(828) 898-5465
Fax
(828) 898-6140
NPI assigned
Aug 18, 2008
Sex
Female
Sole proprietor
Yes

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
005821NCMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 005821 NC Yes

Addresses

Primary practice location

158 Grandfather Home for Children Way
Hickory Nut Gap Road
Banner Elk, NC 28604

Mailing address

PO Box 98
Banner Elk, NC 28604-0098
Phone (828) 898-5465

Other names

  • Stephanie Gurr Former name

Other providers in Banner Elk, NC

All providers in Banner Elk, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.