Individual provider Active NPI

Christy R L Northern, LCSW

  • Clinical Social Worker
  • New Albany, IN
National Provider Identifier
1841512142
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34005858A Issued in IN
Practice address
727 Mount Tabor Rd
Suite C
New Albany, IN 47150-6951
Phone
(502) 724-0970
NPI assigned
Feb 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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 34005858A IN Primary

Addresses

Primary practice location

727 Mount Tabor Rd
Suite C
New Albany, IN 47150-6951

Mailing address

502 Creek Rd
Jeffersonville, IN 47130-5527
Phone (502) 724-0970

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
34005858AINMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1267315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1841512142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 CREEK RD",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471305527",
            "telephone_number": "502-724-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 MOUNT TABOR RD",
            "address_2": "SUITE C",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471506951",
            "telephone_number": "502-724-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHERN",
        "first_name": "CHRISTY",
        "middle_name": "R L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-28",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005858A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.