Provider Demographics
NPI:1558407783
Name:SIMS, CHRISTOPHER MARTIN (MSW LCSW)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:MARTIN
Last Name:SIMS
Suffix:
Gender:M
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 GOVERNORS LN STE 150
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-5527
Mailing Address - Country:US
Mailing Address - Phone:530-570-6686
Mailing Address - Fax:530-898-1677
Practice Address - Street 1:5 GOVERNORS LN STE 150
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-5527
Practice Address - Country:US
Practice Address - Phone:530-570-6686
Practice Address - Fax:530-898-1677
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA104100000X
LCSW 248171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker