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NPI Code Detail

MEDICARE: STEFANIE RAIKO MCKNIGHT

MEDICARE:   STEFANIE RAIKO MCKNIGHT
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
11041S0200XSchool Social Worker

General Provider Information

NPI Number : 1336034289
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEFANIE RAIKO MCKNIGHT
Provider Business Mailing Address
First Line : 3517 N 25TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68111-2901
Country : US
Telephone Number : 402-575-8060
Fax Number :
Provider Business Practice Location Address
First Line : 818 HIDDEN HILLS DR
Second Line :
City : BELLEVUE
State : NE
Zip : 68005-2738
Country : US
Telephone Number : 402-660-1007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2025
Last Update Date : 06/11/2025

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Directions to “ STEFANIE RAIKO MCKNIGHT ” Practice Location

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