MEDICARE: RACHEL KNIGHT LCSW

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
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1740979475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL KNIGHT LCSW

Provider Business Mailing Address
First Line	:	PO BOX 643
Second Line	:
City	:	TWIN FALLS
State	:	ID
Zip	:	83303-0643
Country	:	US
Telephone Number	:	208-503-6199
Fax Number	:

Provider Business Practice Location Address
First Line	:	718 SHOSHONE ST E
Second Line	:
City	:	TWIN FALLS
State	:	ID
Zip	:	83301-6111
Country	:	US
Telephone Number	:	208-503-6199
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2023
Last Update Date	:	05/26/2026

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