Provider Demographics
NPI:1548753916
Name:KNIGHT, ZACHARY BENNETT (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:BENNETT
Last Name:KNIGHT
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 E BROADWAY STE 415
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-3155
Mailing Address - Country:US
Mailing Address - Phone:541-579-8760
Mailing Address - Fax:541-246-3053
Practice Address - Street 1:132 E BROADWAY STE 415
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3155
Practice Address - Country:US
Practice Address - Phone:541-579-8760
Practice Address - Fax:541-246-3053
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-11
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500746747Medicaid
OR500740231Medicaid