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NPI Code Detail

MEDICARE: ELIZABETH NANCY CHRISTENSEN LMSW

MEDICARE: ELIZABETH NANCY CHRISTENSEN LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker078304NY
21041C0700XClinical Social Worker091365NY

General Provider Information

NPI Number : 1275867483
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH NANCY CHRISTENSEN LMSW
Provider Business Mailing Address
First Line : 401 NEW KARNER RD
Second Line :
City : ALBANY
State : NY
Zip : 12205-3854
Country : US
Telephone Number : 518-431-1650
Fax Number :
Provider Business Practice Location Address
First Line : 401 NEW KARNER RD
Second Line :
City : ALBANY
State : NY
Zip : 12205-3854
Country : US
Telephone Number : 518-431-1650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2009
Last Update Date : 05/24/2021

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