Provider Demographics
NPI:1992339733
Name:KNIGHT, JADE E (LCSW)
Entity type:Individual
Prefix:
First Name:JADE
Middle Name:E
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 DANIEL BOONE DR STE 1
Mailing Address - Street 2:
Mailing Address - City:BARBOURVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40906-1168
Mailing Address - Country:US
Mailing Address - Phone:606-217-6178
Mailing Address - Fax:859-360-3053
Practice Address - Street 1:219 DANIEL BOONE DR STE 1
Practice Address - Street 2:
Practice Address - City:BARBOURVILLE
Practice Address - State:KY
Practice Address - Zip Code:40906-1168
Practice Address - Country:US
Practice Address - Phone:606-217-6178
Practice Address - Fax:859-360-3053
Is Sole Proprietor?:No
Enumeration Date:2020-03-02
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2536971041C0700X
KY2560821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical