Provider Demographics
NPI:1831510320
Name:KNIGHT, BRIAN PATRICK (LCSW)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:PATRICK
Last Name:KNIGHT
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4477 W EMERALD ST
Mailing Address - Street 2:SUITE C-100
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83706-2000
Mailing Address - Country:US
Mailing Address - Phone:208-376-9831
Mailing Address - Fax:208-321-0221
Practice Address - Street 1:4477 W EMERALD ST
Practice Address - Street 2:SUITE C-100
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83706-2000
Practice Address - Country:US
Practice Address - Phone:208-376-9831
Practice Address - Fax:208-321-0221
Is Sole Proprietor?:No
Enumeration Date:2013-12-30
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCSW-369061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical