Healthcare Provider Details

I. General information

NPI: 1902373079
Provider Name (Legal Business Name): CHRISTINA LESLIE SPHAR MSW,LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2018
Last Update Date: 03/11/2022
Certification Date: 03/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7828 VANCE DR
ARVADA CO
80003-2124
US

IV. Provider business mailing address

4851 INDEPENDENCE ST
WHEAT RIDGE CO
80033-6715
US

V. Phone/Fax

Practice location:
  • Phone: 720-804-5508
  • Fax:
Mailing address:
  • Phone: 303-432-5181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09926474
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: