Provider Demographics
NPI:1083018261
Name:KNOX, TONI LYNN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:TONI
Middle Name:LYNN
Last Name:KNOX
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:TONI
Other - Middle Name:LYNN
Other - Last Name:MCBRIDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 832073
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75083-2073
Mailing Address - Country:US
Mailing Address - Phone:214-415-6753
Mailing Address - Fax:972-234-3715
Practice Address - Street 1:2200 SHANNON LN
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-4728
Practice Address - Country:US
Practice Address - Phone:214-415-6753
Practice Address - Fax:972-234-3715
Is Sole Proprietor?:No
Enumeration Date:2014-10-16
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX232911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX23291OtherTEXAS SOCIAL WORK LICENSE