Christine Louise Eddy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L4586 Issued in OR

Practice address

325 S 5TH St
Klamath Falls, OR 97601-6107

Phone

(541) 882-7111

Fax

(541) 882-7111

NPI assigned

Jun 21, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Crossroads to Recovery

  • Addiction (Substance Use Disorder) Counselor
  • Klamath Falls, OR
  • NPI 1407293012
  NPD (past) Authorized official

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1235450511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S 5TH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016107",
            "telephone_number": "541-882-7111",
            "fax_number": "541-882-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S 5TH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016107",
            "telephone_number": "541-882-7111",
            "fax_number": "541-882-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY",
        "first_name": "CHRISTINE",
        "middle_name": "LOUISE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eal Leasing, Inc.
• Kari Eastman
• Ralph Parker Eccles, D.O
• Deborah Sue Edde
• Brook Colleen Eddy
• Tammi Edge
• Matthew Sean Edmonds, M.D.
• Edward L Van Tassel DO PC
• Brandon Lee Edwards, PA-C
• Robert Norfleet Edwards, M.D.

• Clinical Social Worker in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.