Provider Demographics
NPI:1629314455
Name:GARAU, CHRISTY (MSW)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:
Last Name:GARAU
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 RIVER RUN CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46725-1508
Mailing Address - Country:US
Mailing Address - Phone:260-244-0264
Mailing Address - Fax:260-244-1983
Practice Address - Street 1:155 DIPLOMAT DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA CITY
Practice Address - State:IN
Practice Address - Zip Code:46725-1330
Practice Address - Country:US
Practice Address - Phone:260-244-0264
Practice Address - Fax:260-244-1983
Is Sole Proprietor?:No
Enumeration Date:2012-12-26
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN99066699A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical