Provider Demographics
NPI:1407001563
Name:LUNSFORD, CHRISTINA L (LISW S)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:L
Last Name:LUNSFORD
Suffix:
Gender:F
Credentials:LISW S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7956 SUMMERLIN CT
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:45044-8219
Mailing Address - Country:US
Mailing Address - Phone:132-779-6925
Mailing Address - Fax:513-755-0820
Practice Address - Street 1:11161 KENWOOD RD
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-1817
Practice Address - Country:US
Practice Address - Phone:513-769-4600
Practice Address - Fax:513-769-0304
Is Sole Proprietor?:No
Enumeration Date:2008-11-17
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS0700801104100000X
OH11015711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker