Provider Demographics
NPI:1699829374
Name:KNIGHT, ALISA PEARSON (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:ALISA
Middle Name:PEARSON
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MS
Other - First Name:ALISA
Other - Middle Name:SUZANNE
Other - Last Name:PEARSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:250 SPRING HILL RD
Mailing Address - Street 2:
Mailing Address - City:ASHBY
Mailing Address - State:MA
Mailing Address - Zip Code:01431-2213
Mailing Address - Country:US
Mailing Address - Phone:978-913-2927
Mailing Address - Fax:
Practice Address - Street 1:250 SPRING HILL RD
Practice Address - Street 2:
Practice Address - City:ASHBY
Practice Address - State:MA
Practice Address - Zip Code:01431-2213
Practice Address - Country:US
Practice Address - Phone:978-913-2927
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1159641041C0700X
MELC119381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ143036Q0AOtherMEDICARE PROVIDER TRANSACTION ACCESS NUMBER