Patti Sue Christensen, LCSW, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

05591 Issued in IA

Practice address

805 W 35TH St Ste 100
Davenport, IA 52806-5807

Phone

(563) 445-0557

Fax

(563) 445-1604

NPI assigned

Jan 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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.

• Family Resources Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Davenport, IA
  • NPI 1275598054
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326190018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 E 61ST BLVD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072972",
            "telephone_number": "563-344-8789",
            "fax_number": "563-445-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W 35TH ST STE 100",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528065807",
            "telephone_number": "563-445-0557",
            "fax_number": "563-445-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "PATTI",
        "middle_name": "SUE",
        "credential": "LCSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "05591",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "006811",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "006811",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISW",
            "identifier": "05591",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sreenivas Chintalapani, M.D.
• Joyce L Chouinard, ARNP
• Thomas Thomas Chowattukunnel Jr., M.D.
• Nilarun Chowdhuri, MD
• Heather Ann Christ, PHARMD
• Christian Retirement Homes, Inc.
• Bradley Christiansen
• Margaret A Christiansen, AUD
• Shannon Kathleen Christiansen, DC
• Christopher C. Friedl and Lauren E. Jensen Endodontics, PLLC

• Clinical Social Worker in Davenport, IA
• Providers in Davenport, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.