Kimberly J Christopher, LCSW
Individual provider Active NPI Clinical Social Worker · Litchfield, CT
NPI 1215070404 · NPPES record last updated Jul 24, 2015
Key facts
- NPI
- 1215070404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 003155 (CT)
- Practice address
- 409 Bantam Rd
Suite A1
Litchfield, CT 06759-3200 - Phone
- (860) 459-6017
- NPI assigned
- Feb 15, 2007
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003155 | CT | MD | Pediatric Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 003155 | CT | Yes |
Addresses
Primary practice location
409 Bantam Rd
Suite A1
Litchfield, CT 06759-3200
Mailing address
409 Bantam Rd
Suite A1
Litchfield, CT 06759-3200
Phone (860) 459-6017
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004170354 | Medicaid | CT |
Other providers in Litchfield, CT
- Edward R Burns
- Renee T Case
- Linda M Catrambone
- Center for Alternative Medicine, P.C.
- Charym Integral Health, Litchfield LLC
- Clear Mind Counseling LLC
- Brigid Cleary
- Collaborative Family Solutions
- Dyan V Combes
- Katie M Competello-Guest
All providers in Litchfield, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 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.