Provider Demographics
NPI:1851586796
Name:HITE, CHRISTIE MAE (LCSW-CP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTIE
Middle Name:MAE
Last Name:HITE
Suffix:
Gender:F
Credentials:LCSW-CP
Other - Prefix:
Other - First Name:CHRISTIE
Other - Middle Name:MAE
Other - Last Name:TRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1033 EDGEFIELD ST
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29646-3205
Mailing Address - Country:US
Mailing Address - Phone:864-227-3908
Mailing Address - Fax:864-227-2668
Practice Address - Street 1:1033 EDGEFIELD ST
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-3205
Practice Address - Country:US
Practice Address - Phone:864-227-3908
Practice Address - Fax:864-227-2668
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC133061041C0700X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01079267Medicaid