Healthcare Provider Details

I. General information

NPI: 1992955512
Provider Name (Legal Business Name): MS. LINDA MARIE BUGGS-KNIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. LINDA MARIE KNIGHT

II. Dates (important events)

Enumeration Date: 09/19/2008
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 THIRD AVE
CHULA VISTA CA
91911-3136
US

IV. Provider business mailing address

1155 THIRD AVE
CHULA VISTA CA
91911-3136
US

V. Phone/Fax

Practice location:
  • Phone: 619-498-8260
  • Fax: 619-498-8265
Mailing address:
  • Phone: 619-498-8260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW64448
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: