Provider Demographics
NPI:1437824620
Name:CHRISTOPHER, BROOK ASHLEY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:BROOK
Middle Name:ASHLEY
Last Name:CHRISTOPHER
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 1:52A ERVIN ST
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012-3327
Mailing Address - Country:US
Mailing Address - Phone:917-837-8991
Mailing Address - Fax:
Practice Address - Street 1:52A ERVIN ST
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:NC
Practice Address - Zip Code:28012-3327
Practice Address - Country:US
Practice Address - Phone:917-837-8991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-10
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical