Laura Christianson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW15925 Issued in FL

Practice address

6268 Old Bethel Rd
Crestview, FL 32536-5505

Phone

(850) 353-2677

Fax

(850) 505-3067

NPI assigned

Jun 29, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elevate Hope

  • Clinical Social Worker
  • Crestview, FL
  • NPI 1275126781
  NPD
• Crosspoint United Methodist Church Inc

  • Mental Health Counselor
  • Niceville, FL
  • NPI 1265156459

  Clinical

  NPD (past)

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1992375174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6268 OLD BETHEL RD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365505",
            "telephone_number": "850-353-2677",
            "fax_number": "850-505-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6268 OLD BETHEL RD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365505",
            "telephone_number": "850-353-2677",
            "fax_number": "850-505-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANSON",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magaly Chavez
• Chien Nguyen
• Children'S Orthopaedic Institute of Northwest Florida, LLC
• Donald Dyrone Chipman Jr., MD
• Bryant Choe, DMD
• Christopher MD & Associates, PA
• Indumathi Christopher, MD
• Caitlyn Cisna
• Veronica Clark
• Clay Hearts Counseling

• Clinical Social Worker in Crestview, FL
• Providers in Crestview, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.