Provider Demographics
NPI:1528170511
Name:KNIGHT, STEPHEN E (LCSW)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:E
Last Name:KNIGHT
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:MR
Other - First Name:STEVE
Other - Middle Name:
Other - Last Name:KNIGHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:6605 ABERCORN ST STE 107
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-5890
Mailing Address - Country:US
Mailing Address - Phone:912-412-3322
Mailing Address - Fax:912-525-3183
Practice Address - Street 1:6605 ABERCORN ST STE 107
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-5890
Practice Address - Country:US
Practice Address - Phone:912-412-3322
Practice Address - Fax:912-525-3183
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSW13941041C0700X
HI37431041C0700X
GACSW0065101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003203204AMedicaid
MT000070605OtherBC/BS
MT0030679OtherRAILROAD MEDICARE
MT0503149Medicaid
MT0030679OtherRAILROAD MEDICARE