DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ELLE CHRISTOFERSON LICSW

MEDICARE: ELLE CHRISTOFERSON LICSW
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
11041C0700XClinical Social Worker29996MN

General Provider Information

NPI Number : 1821921883
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLE CHRISTOFERSON LICSW
Provider Business Mailing Address
First Line : 1915 LYNDALE AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55403-3104
Country : US
Telephone Number : 800-336-5973
Fax Number :
Provider Business Practice Location Address
First Line : 1915 LYNDALE AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55403-3104
Country : US
Telephone Number : 800-336-5973
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

Similar Medicare Providers

1689850067 — KARA COLLINS LAMFT
Practice Location Address:
1915 LYNDALE AVE S
MINNEAPOLIS, MN
55403-3104
Practice Phone: 800-336-5973
Practice Fax: 612-234-4689
1922452507 — JACOB ZIMMERMAN
Practice Location Address:
1915 LYNDALE AVE S
MINNEAPOLIS, MN
55403-3104
Practice Phone: 800-336-5973
Practice Fax: 612-234-4689
1649939695 — MARY KELLY KIRK-WILLENBRING MA, LPCC
Practice Location Address:
1915 LYNDALE AVE S
MINNEAPOLIS, MN
55403-3104
Practice Phone: 800-336-5973
Practice Fax: 612-234-4689
1255155834 — BENJAMIN WAYNE RONNING LPCC
Practice Location Address:
1915 LYNDALE AVE S
MINNEAPOLIS, MN
55403-3104
Practice Phone: 800-336-5973
Practice Fax:
1043109663 — WARD STILES MA, LPCC
Practice Location Address:
1915 LYNDALE AVE S
MINNEAPOLIS, MN
55403-3104
Practice Phone: 651-592-2887
Practice Fax:
1578670188 — INDIAN HEALTH BOARD OF MINNEAPOLIS
Practice Location Address:
2020 MINNEHAHA AVE
MINNEAPOLIS, MN
55404-3104
Practice Phone: 612-721-9800
Practice Fax: 612-721-9870

Directions to “ ELLE CHRISTOFERSON LICSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.