Jerry Knight, LCSW
Social Worker, Clinical in Stockton, CA. Individual provider (NPI-1).
NPI number1750620522
StatusActive
Last updated in NPPESApr 17, 2024
Details
- NPI
- 1750620522
- Entity type
- Individual (NPI-1)
- Name
- Jerry Knight
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2013
- Certification date
- Apr 17, 2024
- Last updated
- Apr 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW89717 | CA | Yes |
Practice location
3833 Pine Meadow CtStockton, CA 95219-2546
Phone 209-351-0350
Mailing address
3833 Pine Meadow CtStockton, CA 95219-2546
Phone 209-351-0350
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