Provider Demographics
NPI:1558804922
Name:DAMRATH, CHRISTY (LCSW)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:
Last Name:DAMRATH
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:PO BOX 74711
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23236-0012
Mailing Address - Country:US
Mailing Address - Phone:804-489-1375
Mailing Address - Fax:804-799-1775
Practice Address - Street 1:2807 N PARHAM RD STE 200-54
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23294-4410
Practice Address - Country:US
Practice Address - Phone:804-489-1375
Practice Address - Fax:804-799-1775
Is Sole Proprietor?:No
Enumeration Date:2016-12-02
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040095321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical