Hollie Sue Christiansen

Individual provider Active NPI Social Worker · Elbert, CO

NPI 1134878242 · NPPES record last updated Mar 23, 2022

Key facts

NPI
1134878242
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
SWC-0000000632 (CO)
Practice address
13620 Halleluiah Trail
Elbert, CO 80106
Phone
(719) 495-3908
NPI assigned
Mar 23, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

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
0000000632COMDSocial Worker
SWC-0000000632COMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stablestrides Current
since Dec 3, 2023
Accepting new patients
Stablestrides Past
since Mar 27, 2022
Accepting new patients

Locations

13620 Halleluiah Trl
Elbert, CO 80106
Phone (719) 495-3908

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0000000632 CO
Social Worker 104100000X SWC-0000000632 CO Yes

Addresses

Primary practice location

13620 Halleluiah Trail
Elbert, CO 80106

Mailing address

13950 Windy Pine Dr
Elbert, CO 80106-8874
Phone (719) 726-2776

Other providers in Elbert, CO

All providers in Elbert, CO · Social Worker in Colorado

Sources for this page

Verify at the official NPI Registry.