Individual provider Active NPI

Christine Halterman, LICSW

  • Clinical Social Worker
  • Sedro Woolley, WA
National Provider Identifier
1689077984
Registry record updated Jan 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61047802 Issued in WA
Practice address
10892 Sterling Rd
Sedro Woolley, WA 98284-8767
Phone
(360) 451-6643
NPI assigned
Sep 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW61047802 WA Primary

Addresses

Primary practice location

10892 Sterling Rd
Sedro Woolley, WA 98284-8767

Mailing address

10892 Sterling Rd
Sedro Woolley, WA 98284-8767
Phone (360) 451-6643

Other practice location 1

300 Hospital Pkwy
Mount Vernon, WA 98273
Phone (360) 814-5180

Other practice location 2

25 E 16th Ave
Denver, CO 80202-5195
Phone (303) 297-4013

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LW61047802WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736553600000",
    "number": "1689077984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10892 STERLING RD",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982848767",
            "telephone_number": "360-451-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10892 STERLING RD",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982848767",
            "telephone_number": "360-451-6643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Hospital Pkwy",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "98273",
            "country_code": "US",
            "telephone_number": "360-814-5180",
            "fax_number": "360-416-8314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 E 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802025195",
            "country_code": "US",
            "telephone_number": "303-297-4013",
            "fax_number": "303-764-2109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALTERMAN",
        "first_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61047802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedro Woolley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; 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.