Provider Demographics
NPI:1235801952
Name:WINTHER, CHRISTINE P (LICSW)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:P
Last Name:WINTHER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3925 SW 107TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98146-1645
Mailing Address - Country:US
Mailing Address - Phone:206-218-8303
Mailing Address - Fax:
Practice Address - Street 1:3925 SW 107TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98146-1645
Practice Address - Country:US
Practice Address - Phone:206-218-8303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-30
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000093271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical