MEDICARE: MRS. SARA ANN KNIGHT 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
1	1041C0700X	Clinical Social Worker		KS
2	104100000X	Social Worker	7778	KS

General Provider Information

NPI Number	:	1376249748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARA ANN KNIGHT LCSW

Provider Business Mailing Address
First Line	:	4013 N RIDGE RD
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67205-8857
Country	:	US
Telephone Number	:	316-201-6294
Fax Number	:

Provider Business Practice Location Address
First Line	:	4013 N RIDGE RD
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67205-8857
Country	:	US
Telephone Number	:	316-201-6294
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2023
Last Update Date	:	02/09/2026

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