Provider Demographics
NPI:1629030762
Name:KNIGHT, SHERRI ANN (LCSW)
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:ANN
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1725 PARK TERRACE LN
Mailing Address - Street 2:
Mailing Address - City:WINSTON-SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27127-4795
Mailing Address - Country:US
Mailing Address - Phone:336-391-8604
Mailing Address - Fax:
Practice Address - Street 1:1725 PARK TERRACE LN
Practice Address - Street 2:
Practice Address - City:WINSTON-SALEM
Practice Address - State:NC
Practice Address - Zip Code:27127-4795
Practice Address - Country:US
Practice Address - Phone:336-391-8604
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0037051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical