Healthcare Provider Details

I. General information

NPI: 1174758544
Provider Name (Legal Business Name): CHRISTA J FOSTER MSW, LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTA AUCREMANNE LICSW

II. Dates (important events)

Enumeration Date: 05/28/2009
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1399 STEWARTSTOWN RD STE 210
MORGANTOWN WV
26505-4402
US

IV. Provider business mailing address

1399 STEWARTSTOWN RD STE 210
MORGANTOWN WV
26505-4402
US

V. Phone/Fax

Practice location:
  • Phone: 304-680-4673
  • Fax:
Mailing address:
  • Phone: 304-680-4673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberDP00942181
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: