Provider Demographics
NPI:1326529652
Name:CULBERT, CHRISTIE E (LICSW)
Entity Type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:E
Last Name:CULBERT
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 1:1 WELLNESS WAY
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-1166
Mailing Address - Country:US
Mailing Address - Phone:781-267-8576
Mailing Address - Fax:
Practice Address - Street 1:1 WELLNESS WAY
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MA
Practice Address - Zip Code:02021-1166
Practice Address - Country:US
Practice Address - Phone:781-614-8408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-24
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1189561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical