Provider Demographics
NPI:1487464152
Name:KNIGHT, ERICA RENEE' (RCSWI)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:RENEE'
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:RCSWI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10628 PARK MEADOWBROOKE DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-4108
Mailing Address - Country:US
Mailing Address - Phone:941-340-9180
Mailing Address - Fax:
Practice Address - Street 1:10727 NAVIGATION DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33579-7750
Practice Address - Country:US
Practice Address - Phone:941-340-9180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical