Provider Demographics
NPI:1649884990
Name:MCKNIGHT, GENAFIE (LCSW)
Entity type:Individual
Prefix:
First Name:GENAFIE
Middle Name:
Last Name:MCKNIGHT
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 1:322 NORTH SHORE DRIVE
Mailing Address - Street 2:BUILDING 1B SUITE 200
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212
Mailing Address - Country:US
Mailing Address - Phone:412-595-6883
Mailing Address - Fax:
Practice Address - Street 1:322 NORTH SHORE DRIVE NORTH SHORE
Practice Address - Street 2:BUILDING 1B SUITE 200
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212
Practice Address - Country:US
Practice Address - Phone:412-595-6883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-03
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0213391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical