Christian Clinical Concepts, LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW-28829 Issued in ID

Legal business name

CHRISTIAN CLINICAL CONCEPTS, LLC

Practice address

5700 E Franklin Rd
Suites 220 a&H
Nampa, ID 83687-8497

Phone

(208) 475-1875

Fax

(208) 475-1876

NPI assigned

May 17, 2009

Organization subpart

No

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

Authorized official

Name

Brian Lynn Raymond, LMSW

Title

Manager/Ceo

Phone

(208) 571-2723

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1242518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1295960516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 E FRANKLIN RD",
            "address_2": "SUITES 220 A&H",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836878497",
            "telephone_number": "208-475-1875",
            "fax_number": "208-475-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 E FRANKLIN RD",
            "address_2": "SUITES 220 A&H",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836878497",
            "telephone_number": "208-475-1875",
            "fax_number": "208-475-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN CLINICAL CONCEPTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-17",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER/CEO",
        "authorized_official_telephone_number": "208-571-2723",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-28829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Ameila Christensen, MS, RD
• Hannah Marie Christensen, MD
• Paul H Christensen, NP
• Shaun Christensen, DMD
• Christian C. Cusimano DDS, Ms, PC
• Brian J Christiansen, PHARM.D.
• Craig Christiansen, FNP
• Cheryl Christianson, LCPC
• Jennifer Chun-Brodie, M.D.
• Eva Chung, MD

• Social Worker in Nampa, ID
• Providers in Nampa, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.