Christina Marie Warden

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.013199 Issued in IL

Practice address

119 S Benton St
Winnebago, IL 61088-8582

Phone

(815) 335-1381

NPI assigned

Mar 31, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: christina.warden.1@28621.direct.athenahealth.com

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.

• KP Counseling LTD

  • Clinical Social Worker
  • Rockford, IL
  • NPI 1770630766
  NPD
• Optum Behavioral Care Therapy Services of Illinois PC

  dba KP Counseling of Illinois

  • Clinical Social Worker
  • Rockford, IL
  • NPI 1235949553
  NPD
• Optum Behavioral Care Therapy Services of Illinois PC

  • Clinical Social Worker
  • Rockford, IL
  • NPI 1780579797
  NPD
• Freedlund Family Chiropratic LTD

  • Chiropractor
  • Winnebago, IL
  • NPI 1760682827
  NPD (past)
• Glenwood Center LTD

  • Psychiatry Physician
  • Rockford, IL
  • NPI 1003033861
  NPD (past)

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

{
    "created_epoch": "1364688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1225371008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S BENTON ST",
            "city": "WINNEBAGO",
            "state": "IL",
            "postal_code": "610888582",
            "telephone_number": "815-335-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S BENTON ST",
            "city": "WINNEBAGO",
            "state": "IL",
            "postal_code": "610888582",
            "telephone_number": "815-335-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDEN",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-31",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Joseph Sartino, PT
• Kaili T Simmons, DPT
• J. Mark Skaggs, PT, CSCS
• Lori A Stanton, MS.ED, CADC, LCPC
• Jon S. Strutzenberg, DO
• Win Bur Sew Fire Protection Dist
• Winnebago Cusd 323

• Clinical Social Worker in Winnebago, IL
• Providers in Winnebago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.