Healthcare Provider Details

I. General information

NPI: 1669084505
Provider Name (Legal Business Name): CHRISTIAN GAITSKILL LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTIAN MESSER

II. Dates (important events)

Enumeration Date: 08/21/2020
Last Update Date: 03/29/2025
Certification Date: 03/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 MAIN ST STE 104
WHEELING WV
26003-2737
US

IV. Provider business mailing address

4629 AICHOLTZ RD STE 2
CINCINNATI OH
45244-1560
US

V. Phone/Fax

Practice location:
  • Phone: 304-513-3495
  • Fax:
Mailing address:
  • Phone: 513-752-1555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.1600499
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCP00946595
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: