Provider Demographics
NPI:1679046395
Name:KNIGHT, JENIFER LYNN (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:JENIFER
Middle Name:LYNN
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:JENY
Other - Middle Name:
Other - Last Name:KNIGHT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1105 COLORADO AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-3522
Mailing Address - Country:US
Mailing Address - Phone:970-200-4238
Mailing Address - Fax:
Practice Address - Street 1:2201 MISSION AVE STE 100
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92058-2313
Practice Address - Country:US
Practice Address - Phone:760-826-6322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-04
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONA.00710911376K00000X
390200000X
CA1192601041C0700X
CO0009923562104100000X
COCSW.099294831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No376K00000XNursing Service Related ProvidersNurse's Aide
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No104100000XBehavioral Health & Social Service ProvidersSocial Worker