Provider Demographics
NPI:1598463598
Name:CHRISTY, JAMIE LEE (LCSW-C)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:LEE
Last Name:CHRISTY
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:LEE
Other - Last Name:LAKERNICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:194 CAMPUS GREEN DR
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-1816
Mailing Address - Country:US
Mailing Address - Phone:484-844-3981
Mailing Address - Fax:
Practice Address - Street 1:194 CAMPUS GREEN DR
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-1816
Practice Address - Country:US
Practice Address - Phone:484-844-3981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-20
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27780104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker