Provider Demographics
NPI:1265837520
Name:CHRISTIANSEN, KARRI ELAYNE (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:KARRI
Middle Name:ELAYNE
Last Name:CHRISTIANSEN
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1289 TENNYSON LN
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-0393
Mailing Address - Country:US
Mailing Address - Phone:630-627-1700
Mailing Address - Fax:630-510-5488
Practice Address - Street 1:1289 TENNYSON LN
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-0393
Practice Address - Country:US
Practice Address - Phone:630-627-1700
Practice Address - Fax:630-510-5488
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-29
Last Update Date:2014-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker