Provider Demographics
NPI:1861002248
Name:KNIGHT, LEE COURTNEY (MSW)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:COURTNEY
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 PEARSON ST APT A
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-1715
Mailing Address - Country:US
Mailing Address - Phone:336-989-8089
Mailing Address - Fax:
Practice Address - Street 1:925 PEARSON ST APT A
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-1715
Practice Address - Country:US
Practice Address - Phone:336-989-8089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-31
Last Update Date:2021-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0146231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical