Provider Demographics
NPI:1699881599
Name:KNECHT, BETH J (LCSWR)
Entity type:Individual
Prefix:MRS
First Name:BETH
Middle Name:J
Last Name:KNECHT
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:232 MAIN STREET
Mailing Address - Street 2:CATHOLIC CHARITIES OF BROOME CO
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13905-2610
Mailing Address - Country:US
Mailing Address - Phone:607-729-9166
Mailing Address - Fax:607-729-2062
Practice Address - Street 1:232 MAIN STREET
Practice Address - Street 2:CATHOLIC CHARITIES OF BROOME CO
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13905-2610
Practice Address - Country:US
Practice Address - Phone:607-729-9166
Practice Address - Fax:607-729-2062
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR04267911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical