Provider Demographics
NPI:1568861318
Name:UIPI, CHRISTIE (LCSW)
Entity Type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:
Last Name:UIPI
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 1:5908 SHOSHONE AVE
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-1231
Mailing Address - Country:US
Mailing Address - Phone:860-878-1353
Mailing Address - Fax:
Practice Address - Street 1:5908 SHOSHONE AVE
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-1231
Practice Address - Country:US
Practice Address - Phone:860-878-1353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-18
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA903141041C0700X
COCSW.099272951041C0700X
CT109021041C0700X
NV8787-C1041C0700X
171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No171400000XOther Service ProvidersHealth & Wellness Coach