MEDICARE: JUSTICE KIERRA MCKNIGHT LMSW

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	104100000X	Social Worker	S.2208132	OH

General Provider Information

NPI Number	:	1598305997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTICE KIERRA MCKNIGHT LMSW

Provider Business Mailing Address
First Line	:	3419 GROVEWOOD DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45251-1586
Country	:	US
Telephone Number	:	513-571-7623
Fax Number	:

Provider Business Practice Location Address
First Line	:	3419 GROVEWOOD DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45251-1586
Country	:	US
Telephone Number	:	513-571-7623
Fax Number	:

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

Provider Enumeration Date	:	01/14/2020
Last Update Date	:	08/21/2025

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