Individual provider Active NPI

Marilyn Knight, LCSW

  • Addiction (Substance Use Disorder) Counselor
  • Calera, AL
National Provider Identifier
1740610302
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
3596C Issued in AL
Practice address
151 Hamilton LN
Calera, AL 35040-8700
Phone
(205) 668-4308
Fax
(205) 668-0894
NPI assigned
Nov 19, 2013
Last updated
Nov 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 3596C AL Primary

Addresses

Primary practice location

151 Hamilton LN
Calera, AL 35040-8700

Mailing address

PO Box 689
Calera, AL 35040-0689
Phone (205) 668-4308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20140408000455 AL Practitioner - Clinical Social Worker 3274765169 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Health Services, LLC CurrentSince Apr 1, 2019 Accepting new patients

Locations

1957 Hoover Ct
Ste 307C
Hoover, AL 35226
Phone (205) 644-1166

9064 Helena Rd
Pelham, AL 35124
Phone (205) 644-1166

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": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1740610302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350400689",
            "telephone_number": "205-668-4308",
            "fax_number": "205-668-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 HAMILTON LN",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350408700",
            "telephone_number": "205-668-4308",
            "fax_number": "205-668-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "MARILYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AL",
            "license": "3596C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calera, AL

Sources for this page

Verify at the official NPI Registry.