Provider Demographics
NPI:1235112251
Name:KNIGHT, SALLIE BETH (MSW)
Entity Type:Individual
Prefix:MS
First Name:SALLIE
Middle Name:BETH
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 MACKEY AVE
Mailing Address - Street 2:BELMONT PSYCHIATRIC SERVICES
Mailing Address - City:MARTINS FERRY
Mailing Address - State:OH
Mailing Address - Zip Code:43935
Mailing Address - Country:US
Mailing Address - Phone:740-635-7792
Mailing Address - Fax:740-635-7755
Practice Address - Street 1:500 MACKEY AVE
Practice Address - Street 2:BELMONT PSYCHIATRIC SERVICES
Practice Address - City:MARTINS FERRY
Practice Address - State:OH
Practice Address - Zip Code:43935
Practice Address - Country:US
Practice Address - Phone:740-635-7792
Practice Address - Fax:740-635-7755
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-23
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVDP00864876104100000X
OHI0005552104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHKNSW12198Medicare ID - Type Unspecified