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NPI Code Detail

MEDICARE: SHA'VON MARIE MCKNIGHT LCSW

MEDICARE: SHA'VON MARIE MCKNIGHT LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker11439-CNV

General Provider Information

NPI Number : 1134607153
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHA'VON MARIE MCKNIGHT LCSW
Provider Business Mailing Address
First Line : 8880 W SUNSET RD STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5014
Country : US
Telephone Number : 702-805-5360
Fax Number :
Provider Business Practice Location Address
First Line : 8880 W SUNSET RD STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5014
Country : US
Telephone Number : 702-805-5360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2018
Last Update Date : 03/09/2026

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