Healthcare Provider Details

I. General information

NPI: 1497659023
Provider Name (Legal Business Name): LAURYN KNIGHT LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25482 POINT LOOKOUT RD STE 202
LEONARDTOWN MD
20650-3896
US

IV. Provider business mailing address

25482 POINT LOOKOUT RD STE 202
LEONARDTOWN MD
20650-3896
US

V. Phone/Fax

Practice location:
  • Phone: 240-587-0843
  • Fax:
Mailing address:
  • Phone: 301-690-0779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number34869
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: