Vladimir Christophe, LCSW, LCADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05631600 Issued in NJ

Practice address

1140 Burnt Tavern Rd
Suite 2C
Brick, NJ 08724-1496

Phone

(201) 746-5279

NPI assigned

Jan 31, 2016

Sex

Male

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Christophe Clinical Therapeutic Services, LLC

  • Community/Behavioral Health Agency
  • Brick, NJ
  • NPI 1063872497
  NPD Authorized official

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

{
    "created_epoch": "1454198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1184082539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 BURNT TAVERN RD",
            "address_2": "SUITE 2C",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087241496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BURNT TAVERN RD",
            "address_2": "SUITE 2C",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087241496",
            "telephone_number": "201-746-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOPHE",
        "first_name": "VLADIMIR",
        "name_prefix": "Mr.",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-31",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00231100",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019763",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05631600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony D Christiano, D.O.
• Alyssa Beth Christman, LCSW
• Adam David Christmann, PSY.D.
• Joanne Christodoulou
• Christophe Clinical Therapeutic Services, LLC
• Jeffri Sharon Christopher, PHARMD
• Clifford T Chu, M.D.
• Angelique Jollie Chua, LCSW
• Heather M Church-Soto, LCSW
• Erinmarie Ciallella, M.S., CCC-SLP

• Clinical Social Worker in Brick, NJ
• Providers in Brick, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.