Active NPI
Christina Nellena Christie, LCSW
- Clinical Social Worker
- Little Rock, AR
National Provider Identifier
1346406311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 415 N McKinley St
Ste. 500
Little Rock, AR 72205-3013 - Phone
- (501) 664-6632
- NPI assigned
- Jul 30, 2008
- Last updated
- Aug 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
415 N McKinley St
Ste. 500
Little Rock, AR 72205-3013
Mailing address
1540 Southern Hills Dr
Conway, AR 72034-1901
Phone (501) 681-4252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 173300795 | Medicaid | AR |
Other names 1
- Miss Christina Nellena Brown
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joyce Fowler, P.a. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407110400000",
"number": "1346406311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 SOUTHERN HILLS DR",
"city": "CONWAY",
"state": "AR",
"postal_code": "720341901",
"telephone_number": "501-681-4252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N MCKINLEY ST",
"address_2": "STE. 500",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722053013",
"telephone_number": "501-664-6632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIE",
"first_name": "CHRISTINA",
"middle_name": "NELLENA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-30",
"last_updated": "2014-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173300795",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "BROWN",
"middle_name": "NELLENA",
"prefix": "MISS",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.