Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maria J Knickerbocker, LCSW

Individual provider Clinical Social Worker · NPI 1689863359

Maria J Knickerbocker, LCSW is a Clinical Social Worker in Hattiesburg, Mississippi. Qualified in 1999, 27 years ago. Accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
27
Licensed in
MS
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

118 College Dr # 5163
Hattiesburg, MS 39406-0001
Phone: (601) 266-5163
Fax: (601) 266-5114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C6975 (MS)

Record details

NPI number1689863359
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 18, 2007
Last updated in NPPESOctober 18, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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