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NPI Code Detail

MEDICARE: MS. LISA CHRISTINE KNIGHT LICSW

MEDICARE: MS. LISA CHRISTINE KNIGHT LICSW
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
1104100000XSocial WorkerCSW01362RI
21041C0700XClinical Social Worker122717MA
31041C0700XClinical Social WorkerISW02433RI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3003438201OTHERRIMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21285938894OTHERRIBCBSRI
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285938894
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LISA CHRISTINE KNIGHT LICSW
Provider Business Mailing Address
First Line : 2180 MENDON RD STE 21
Second Line :
City : CUMBERLAND
State : RI
Zip : 02864-3825
Country : US
Telephone Number : 401-263-4597
Fax Number :
Provider Business Practice Location Address
First Line : 2180 MENDON RD STE 21
Second Line :
City : CUMBERLAND
State : RI
Zip : 02864-3825
Country : US
Telephone Number : 401-263-4597
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2010
Last Update Date : 09/19/2025

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