Elizabeth Christmas
Individual provider Active NPI Clinical Social Worker · Montgomery, IN
NPI 1154716827 · NPPES record last updated Mar 31, 2015
Key facts
- NPI
- 1154716827
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 34005293A (IN)
- Practice address
- 542 N 3Rd St
Montgomery, IN 47558-5745 - Phone
- (812) 486-2333
- NPI assigned
- Mar 31, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 34005293A | IN | MD | Clinical Social Worker |
Interoperability endpoints
- https://api.platform.athenahealth.com/19031/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34005293A | IN | Yes |
Addresses
Primary practice location
542 N 3Rd St
Montgomery, IN 47558-5745
Mailing address
542 N 3Rd St
Montgomery, IN 47558-5745
Phone (812) 486-2333
Other providers in Montgomery, IN
- Cherie Arnett
- Barr-Reeve Community Schools
- Jill Colvin
- Compass Point LLC
- Lori Dian Daniel
- Daviess County Hospital
- Daviess County Hospital
All providers in Montgomery, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2015. 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.