National Provider Identifier

Jeremiah Isaiah Knowles, LMSW

Jeremiah Isaiah Knowles, LMSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 225-9720.

NPI 1760189922Rochester, NYClinical Social Worker

Profile Overview

NPI
1760189922
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
February 08, 2023
Last Updated
February 08, 2023

Practice Location

  • 20 Arcampus Dr
  • Rochester, NY 14612-3630

Phone: (585) 225-9720

Mailing Address

  • 48 Buckman RD
  • Rochester, NY 14615-1406

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1760189922
Entity Type
Individual
Last Name
Knowles
First Name
Jeremiah
Middle Name
Isaiah
Name Prefix
Mr.
Credential
LMSW
Mailing Street Address
48 Buckman RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14615-1406
Mailing Country
US
Mailing Phone
(607) 654-9056
Practice Street Address
20 Arcampus Dr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14612-3630
Practice Country
US
Practice Phone
(585) 225-9720
Enumeration Date
February 08, 2023
Last Updated
February 08, 2023
Sex
Male
Sole Proprietor
Yes
Certification Date
February 08, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)