Provider Demographics
NPI:1205485810
Name:KNOTT, ELIZABETH KATE (LCSW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:KATE
Last Name:KNOTT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4096 OAK HILL RD
Mailing Address - Street 2:
Mailing Address - City:BUCKINGHAM
Mailing Address - State:VA
Mailing Address - Zip Code:23921-3411
Mailing Address - Country:US
Mailing Address - Phone:434-315-1850
Mailing Address - Fax:
Practice Address - Street 1:4096 OAK HILL RD
Practice Address - Street 2:
Practice Address - City:BUCKINGHAM
Practice Address - State:VA
Practice Address - Zip Code:23921-3411
Practice Address - Country:US
Practice Address - Phone:434-315-1850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-06
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040112471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical