Provider Demographics
NPI:1487362174
Name:KNIGHT-MCWILLIAMS, ANDRE D (MSW, LCSW-A)
Entity type:Individual
Prefix:
First Name:ANDRE
Middle Name:D
Last Name:KNIGHT-MCWILLIAMS
Suffix:
Gender:M
Credentials:MSW, LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4705 GARDENIA CIR
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-9500
Mailing Address - Country:US
Mailing Address - Phone:252-544-2950
Mailing Address - Fax:
Practice Address - Street 1:16325 NORTHCROSS DR
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-5043
Practice Address - Country:US
Practice Address - Phone:704-237-4240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical