Provider Demographics
NPI:1376691915
Name:MCKNIGHT, ANNE S (LCSW, EDD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:S
Last Name:MCKNIGHT
Suffix:
Gender:F
Credentials:LCSW, EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5319 LEE HWY
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22207-1607
Mailing Address - Country:US
Mailing Address - Phone:703-241-9172
Mailing Address - Fax:703-522-1114
Practice Address - Street 1:5319 LEE HWY
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22207-1607
Practice Address - Country:US
Practice Address - Phone:703-241-9172
Practice Address - Fax:703-522-1114
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA9040009321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
644983Medicare PIN