Provider Demographics
NPI:1376505537
Name:SPRAKER, CHRISTINA MARIE (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:MARIE
Last Name:SPRAKER
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 PINE ST
Mailing Address - Street 2:
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-3502
Mailing Address - Country:US
Mailing Address - Phone:518-745-0079
Mailing Address - Fax:518-745-4291
Practice Address - Street 1:432 FRANKLIN STREET
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12305-1901
Practice Address - Country:US
Practice Address - Phone:518-745-0079
Practice Address - Fax:518-745-4291
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0800131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical