Provider Demographics
NPI:1326563800
Name:MCKNIGHT, DOROTHY (LCSW)
Entity type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:
Last Name:MCKNIGHT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:DENISE
Other - Middle Name:
Other - Last Name:MCKNIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:651 TENNYSON DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-2909
Mailing Address - Country:US
Mailing Address - Phone:704-965-8013
Mailing Address - Fax:
Practice Address - Street 1:651 TENNYSON DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-2909
Practice Address - Country:US
Practice Address - Phone:704-965-8013
Practice Address - Fax:704-965-8013
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-07
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0173921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical