Christine Lynn Wilcox, L.C.S.W.
Individual provider Active NPI Clinical Social Worker · Manitou Springs, CO
NPI 1003028481 · NPPES record last updated Aug 28, 2007
Key facts
- NPI
- 1003028481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 992139 (CO)
- Practice address
- 18 Cedar LN
Manitou Springs, CO 80829-2305 - Phone
- (719) 685-9074
- NPI assigned
- May 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 992139 | CO | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 992139 | CO | Yes |
Addresses
Primary practice location
18 Cedar LN
Manitou Springs, CO 80829-2305
Mailing address
18 Cedar LN
Manitou Springs, CO 80829-2305
Phone (719) 685-9074
Other providers in Manitou Springs, CO
- Savannah Summer-Weiss
- Talk Therapy Corporation
- Talk Therapy Corporation
- Talk Therapy Corporation
- Susan Wich
- Maria Wilcox
- Lanette Marie Yeakley
- Lio Zajac
All providers in Manitou Springs, CO · Clinical Social Worker in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.