Provider Demographics
NPI:1093954315
Name:CURRY, JAMES CHRISSTOPHER (LCSW)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:CHRISSTOPHER
Last Name:CURRY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:JAMES
Other - Middle Name:CHRISTOPHER
Other - Last Name:CURRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 50461
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87181-0461
Mailing Address - Country:US
Mailing Address - Phone:505-903-8109
Mailing Address - Fax:505-238-4339
Practice Address - Street 1:3321 CANDELARIA RD NE STE 144
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-1966
Practice Address - Country:US
Practice Address - Phone:505-903-8109
Practice Address - Fax:505-298-4339
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-10
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI-056481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM74407376Medicaid