Healthcare Provider Details

I. General information

NPI: 1376249748
Provider Name (Legal Business Name): SARA ANN KNIGHT LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2023
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4013 N RIDGE RD
WICHITA KS
67205-8857
US

IV. Provider business mailing address

4013 N RIDGE RD
WICHITA KS
67205-8857
US

V. Phone/Fax

Practice location:
  • Phone: 316-201-6294
  • Fax:
Mailing address:
  • Phone: 316-201-6294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number7778
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: