Provider Demographics
NPI:1700213725
Name:WEBBER, CHRISTINE JOHANNA (LCSW)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:JOHANNA
Last Name:WEBBER
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 1:122 MAIN ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-2052
Mailing Address - Country:US
Mailing Address - Phone:862-377-5072
Mailing Address - Fax:
Practice Address - Street 1:168 FALCON RIDGE WAY N
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NJ
Practice Address - Zip Code:07419-1150
Practice Address - Country:US
Practice Address - Phone:862-377-5072
Practice Address - Fax:973-864-2951
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-04
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC055588001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical