Individual
JANNE KELSEY KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
37769
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-41130
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW-41130
DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSES
ID
01
—
LMSW-37769
IDAHO BOARD OF OCCUPATIONAL LICENSES
ID
Enumeration date
07/20/2018
Last updated
05/09/2024
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