Provider Demographics
NPI:1467904706
Name:SCHICK, CHRISTY MARIE (LICSW)
Entity Type:Individual
Prefix:MS
First Name:CHRISTY
Middle Name:MARIE
Last Name:SCHICK
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 1:3820 LONDON RD APT 213
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55804-2239
Mailing Address - Country:US
Mailing Address - Phone:612-465-9025
Mailing Address - Fax:
Practice Address - Street 1:3820 LONDON RD APT 213
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55804-2239
Practice Address - Country:US
Practice Address - Phone:612-465-9025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-03
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN195241041C0700X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical