Individual provider Active NPI

Penelope S Knight, L.I.S.W. AND A.C.S.W

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1801952460
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0006030 Issued in OH
Practice address
25901 Emery Rd
#108
Cleveland, OH 44128-5774
Phone
(440) 429-3027
Fax
(216) 291-0681
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 I0006030 OH Primary

Addresses

Primary practice location

25901 Emery Rd
#108
Cleveland, OH 44128-5774

Mailing address

4405 Montagano Blvd
South Euclid, OH 44121-3544
Phone (216) 291-0681

Other names 1

  • Ms. Penelope C Knight Professional name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801952460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 MONTAGANO BLVD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441213544",
            "telephone_number": "216-291-0681",
            "fax_number": "216-291-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25901 EMERY RD",
            "address_2": "#108",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441285774",
            "telephone_number": "440-429-3027",
            "fax_number": "216-291-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "PENELOPE",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "L.I.S.W. AND A.C.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0006030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PENELOPE",
            "last_name": "KNIGHT",
            "middle_name": "C",
            "prefix": "MS.",
            "credential": "L.I.S.W. AND A.C.S.W",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.