Provider Demographics
NPI:1992077283
Name:KNIGHTON, SHIRLEY ANN (BSW, RSW)
Entity type:Individual
Prefix:MRS
First Name:SHIRLEY
Middle Name:ANN
Last Name:KNIGHTON
Suffix:
Gender:F
Credentials:BSW, RSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 50140
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70150-0140
Mailing Address - Country:US
Mailing Address - Phone:504-558-9598
Mailing Address - Fax:504-558-9599
Practice Address - Street 1:701 LOYOLA AVE
Practice Address - Street 2:STE. 106
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70113-1912
Practice Address - Country:US
Practice Address - Phone:504-558-9598
Practice Address - Fax:504-558-9599
Is Sole Proprietor?:No
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator