Individual
MS. ARIEL CHANTEL KNIGHT KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWR
Contact information
Practice address
546 SHORE DR, WEST HENRIETTA, NY 14586-9726
(585) 773-0058
Mailing address
546 SHORE DR, WEST HENRIETTA, NY 14586-9726
(585) 773-0058
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
080452
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080452
SOCIAL WORK LICENSURE NUMBER
NY
01
—
14082148
CAQH
NY
Enumeration date
05/15/2019
Last updated
05/15/2019
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