Provider Demographics
NPI:1588898746
Name:KNECHT, WILLIAM JOHN (LCSW)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:JOHN
Last Name:KNECHT
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:BILL
Other - Middle Name:
Other - Last Name:KNECHT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3450 LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-1239
Mailing Address - Country:US
Mailing Address - Phone:504-812-1615
Mailing Address - Fax:
Practice Address - Street 1:3450 LAUREL ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-1239
Practice Address - Country:US
Practice Address - Phone:504-812-1615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-03
Last Update Date:2009-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA36781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical