Christianne Meier Judy, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149012142 Issued in IL

Practice address

635 S Lincoln Ave
O Fallon, IL 62269-2663

Phone

(618) 530-7110

NPI assigned

Dec 1, 2006

Last updated

May 6, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christianne Judy LCSW LLC

  • Mental Health Counselor
  • O'Fallon, IL
  • NPI 1922572148
  Authorized official Same address or phone
• Counseling Associates of Southern Illinois

  • Professional Counselor
  • O'Fallon, IL
  • NPI 1861769184
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1023186806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 AUTUMN RISE LN",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622362859",
            "telephone_number": "618-530-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 S LINCOLN AVE",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692663",
            "telephone_number": "618-530-7110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1669 Windham Way",
            "address_2": "Ste. B",
            "address_purpose": "LOCATION",
            "city": "O'Fallon",
            "state": "IL",
            "postal_code": "622693072",
            "country_code": "US",
            "telephone_number": "618-622-2579",
            "fax_number": "618-624-8506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUDY",
        "first_name": "CHRISTIANNE",
        "middle_name": "MEIER",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149012142",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149012142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dainese F. Jones, CRC, LCPC
• Katherine Ann Jones, APRN
• JP Therapeutic Services
• Stephen Jubinski Jr., M.D.
• Margaret Renee Judson
• Ellie Junker, RBT
• Kris Kahler
• Kaleidoscope Center Corp (Kaleidoscope Center For Autism and Neurodevelopment)
• Lucas Kaliszak
• Karla Smith Foundation (Karla Smith Behavioral Health)

• Clinical Social Worker in O'Fallon, IL
• Providers in O'Fallon, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.