Provider Demographics
NPI:1992056956
Name:KNEEN, DAVID (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:KNEEN
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 SAINT MARYS CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-9026
Mailing Address - Country:US
Mailing Address - Phone:704-765-2059
Mailing Address - Fax:
Practice Address - Street 1:300 N TERRACE PL
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3753
Practice Address - Country:US
Practice Address - Phone:704-765-2059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-30
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0088631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical