Provider Demographics
NPI:1639259906
Name:JEFFREY, CHRISTINE M (MSW, LSCW LLC)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:M
Last Name:JEFFREY
Suffix:
Gender:F
Credentials:MSW, LSCW LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 CHANGEBRIDGE RD # 200
Mailing Address - Street 2:
Mailing Address - City:PINE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07058-9805
Mailing Address - Country:US
Mailing Address - Phone:973-653-8400
Mailing Address - Fax:
Practice Address - Street 1:328 CHANGEBRIDGE RD # 200
Practice Address - Street 2:
Practice Address - City:PINE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07058-9805
Practice Address - Country:US
Practice Address - Phone:973-653-8400
Practice Address - Fax:973-794-3434
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052879001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical