Provider Demographics
NPI:1336034289
Name:MCKNIGHT, STEFANIE RAIKO
Entity type:Individual
Prefix:
First Name:STEFANIE
Middle Name:RAIKO
Last Name:MCKNIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:STEFANIE
Other - Middle Name:RAIKO
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3517 N 25TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68111-2901
Mailing Address - Country:US
Mailing Address - Phone:402-575-8060
Mailing Address - Fax:
Practice Address - Street 1:818 HIDDEN HILLS DR
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-2738
Practice Address - Country:US
Practice Address - Phone:402-660-1007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool