Deanne Christopher, LCSW

Individual provider Active NPI Clinical Social Worker · Baldwinsville, NY

NPI 1043836604 · NPPES record last updated Feb 23, 2023

Key facts

NPI
1043836604
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
09417401 (NY)
Practice address
8797 Harlow LN
Baldwinsville, NY 13027-1506
Phone
(585) 329-3358
NPI assigned
Jun 19, 2020
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)
No

State licenses

LicenseStateTypeSpecialty
078266NYMDSocial Worker
09417401NYMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 078266 NY
Clinical Social Worker 1041C0700X 09417401 NY Yes

Addresses

Primary practice location

8797 Harlow LN
Baldwinsville, NY 13027-1506

Mailing address

8797 Harlow LN
Baldwinsville, NY 13027-1506
Phone (585) 329-3358

Other providers in Baldwinsville, NY

All providers in Baldwinsville, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.