Individual provider Active NPI

Daniel Knight, LCSW

  • Clinical Social Worker
  • Canton, NY
National Provider Identifier
1912596446
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
098116 Issued in NY
Practice address
22 State Highway 310
Canton, NY 13617-1459
Phone
(315) 386-0264
NPI assigned
Jan 11, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 109502 NY
Clinical Social Worker 1041C0700X 098116 NY Primary

Addresses

Primary practice location

22 State Highway 310
Canton, NY 13617-1459

Mailing address

221 Hamilton St
Ogdensburg, NY 13669-1707
Phone (315) 541-3042

Other identifiers 1

IdentifierTypeStateIssuer
222412205MedicaidNY

Electronic endpoints 4

TypeEndpointUseAffiliation
Other URL 10e11Live
Other URL 10e11Live
Other URL 10e11
Other URL 10e11Live

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240930000757 NY Practitioner - Clinical Social Worker 8729519954 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
098116NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
United Helpers Care Inc CurrentSince Jan 17, 2021 Accepting new patients
United Helpers Care Inc CurrentSince Aug 15, 2024 Accepting new patients
United Helpers Care Inc CurrentSince Aug 15, 2024 Accepting new patients
Evergreen Mental Health Counseling, PLLC Mental Health Past Accepting new patients

Locations

22 State Highway 310
Canton, NY 13617
Phone (315) 386-0264

221 Hamilton St
Ogdensburg, NY 13669
Phone (315) 393-3072

Organizations & group practices 4

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": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1912596446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 HAMILTON ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691707",
            "telephone_number": "315-541-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 STATE HIGHWAY 310",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171459",
            "telephone_number": "315-386-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "DANIEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-11",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "109502",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222412205",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "10e11Live",
            "affiliation": "N",
            "endpointDescription": "ECR",
            "address_1": "22 State Highway 310",
            "city": "Canton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "136171459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "10e11Live",
            "affiliation": "N",
            "endpointDescription": "ECR",
            "address_1": "22 State Highway 310",
            "city": "Canton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "136171459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "10e11",
            "affiliation": "N",
            "address_1": "22 State Highway 310",
            "city": "Canton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "136171459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "10e11Live",
            "affiliation": "N",
            "endpointDescription": "ECR",
            "address_1": "22 State Highway 310",
            "city": "Canton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "136171459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canton, NY

Sources for this page

Verify at the official NPI Registry.