Provider Demographics
NPI:1891021564
Name:KNIGHT, DEBBIE LYNN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DEBBIE
Middle Name:LYNN
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:DEBBIE
Other - Middle Name:LYNN
Other - Last Name:CHERNOV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1326
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95901-0037
Mailing Address - Country:US
Mailing Address - Phone:916-531-6501
Mailing Address - Fax:
Practice Address - Street 1:471 AINSLEY AVE
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4105
Practice Address - Country:US
Practice Address - Phone:916-531-6501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-30
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 229511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical