Individual provider Active NPI

Christina C Christie, LCSW

  • Social Worker
  • Farmington, ME
National Provider Identifier
1619966397
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
MC9951 Issued in ME
Practice address
131 Franklin Health CMNS
Ste a
Farmington, ME 04938-6142
Phone
(207) 778-0035
Fax
(207) 778-6879
NPI assigned
Oct 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAC3231 ME
Social Worker 104100000X MC9951 ME Primary

Addresses

Primary practice location

131 Franklin Health CMNS
Ste a
Farmington, ME 04938-6142

Mailing address

131 Franklin Health CMNS
Ste a
Farmington, ME 04938-6142
Phone (207) 778-0035

Other identifiers 1

IdentifierTypeStateIssuer
S410450099MedicaidME

Other names 1

  • Christina C Cesare Former name

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

State licenses

LicenseStateTypeSpecialty
CAC3231MEMDAddiction (Substance Use Disorder) Counselor
MC9951MEMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1619966397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 FRANKLIN HEALTH CMNS",
            "address_2": "STE A",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386142",
            "telephone_number": "207-778-0035",
            "fax_number": "207-778-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 FRANKLIN HEALTH CMNS",
            "address_2": "STE A",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386142",
            "telephone_number": "207-778-0035",
            "fax_number": "207-778-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIE",
        "first_name": "CHRISTINA",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CAC3231",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "MC9951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S410450099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "CESARE",
            "middle_name": "C",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmington, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.