Provider Demographics
NPI:1245615673
Name:JOHNSTON, CHRISTINE (LCSW)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 LAFAYETTE AVE
Mailing Address - Street 2:APT 17G
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-1350
Mailing Address - Country:US
Mailing Address - Phone:646-244-5297
Mailing Address - Fax:
Practice Address - Street 1:14 E 28TH ST
Practice Address - Street 2:CUCS
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-7448
Practice Address - Country:US
Practice Address - Phone:212-471-0723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-27
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0827021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical