Eric Youngblood Willie McKnight, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW02135 Issued in RI

Practice address

150 Chestnut St
Floor 5
Providence, RI 02903-4645

Phone

(401) 465-0156

Fax

(401) 415-0325

NPI assigned

Mar 2, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Landmark Medical of Rhode Island PC

  • General Practice Physician
  • Warwick, RI
  • NPI 1548803729
  NPD (past)
• Rhode Island Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1972768174
  NPD (past)

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1972801835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CHESTNUT ST",
            "address_2": "FLOOR 5",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034645",
            "telephone_number": "401-465-0156",
            "fax_number": "401-415-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CHESTNUT ST",
            "address_2": "FLOOR 5",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034645",
            "telephone_number": "401-465-0156",
            "fax_number": "401-415-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKNIGHT",
        "first_name": "ERIC",
        "middle_name": "YOUNGBLOOD WILLIE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-02",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "ISW02135",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Margaret McKeon, RN
• Pamela McKernan, RN
• Jonathan Lucero McKinney, PA-C
• Robin Laurence McKinney, MD
• Jennifer McKinnon, REGISTERED NURSE
• Eleanor McLaughlin, REGISTERED NURSE
• Elizabeth McLaughlin
• Kerrie A. McLaughlin, AUD
• Nicole C McLaughlin, PH.D.
• Shauna Lynn McLaughlin, MD

• Clinical Social Worker in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.