Knighten, Beverly

Knighten, Beverly is an sole proprietor health care provider with primary practice located at 1 Freedom Way , Augusta GA 30904-6258. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Knighten, Beverly can be contacted via phone (706) 733-0188.

Contact Information

Primary practice address
1 Freedom Way Augusta GA 30904-6258
Phone: (706) 733-0188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 4950 Kansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW005914 Georgia
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7117 Oklahoma
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2283-C Arkansas

Profile Details

NPI number 1205940509
LBN Legal business name Knighten, Beverly
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated Mar 12th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205940509 NPPES
Kansas Other 4950 MASTER SOCIAL WORKER
Kansas Other 2283-C MASTER SOCIAL WORKER

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