Provider Demographics
NPI:1750049201
Name:KNIGHT, TA'NIA M (LCSW-C)
Entity Type:Individual
Prefix:
First Name:TA'NIA
Middle Name:M
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3302 RACOON CT
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-2611
Mailing Address - Country:US
Mailing Address - Phone:443-453-8876
Mailing Address - Fax:
Practice Address - Street 1:3302 RACOON CT
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-2611
Practice Address - Country:US
Practice Address - Phone:443-453-8876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-01
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD237621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical