MEDICARE: MICHELLE MARION KNIGHTES 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	1041C0700X	Clinical Social Worker	098600	NY

General Provider Information

NPI Number	:	1992376487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE MARION KNIGHTES LCSW

Provider Business Mailing Address
First Line	:	395 ELK ST APT 309
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12206-2707
Country	:	US
Telephone Number	:	518-475-6553
Fax Number	:

Provider Business Practice Location Address
First Line	:	395 ELK ST
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12206-2707
Country	:	US
Telephone Number	:	518-475-6553
Fax Number	:

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

Provider Enumeration Date	:	07/06/2021
Last Update Date	:	01/19/2026

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