Provider Demographics
NPI:1013124817
Name:ELSBREE, CHRISTIANE (MSW)
Entity Type:Individual
Prefix:
First Name:CHRISTIANE
Middle Name:
Last Name:ELSBREE
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 1:1037 NE 65TH ST # 138
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-6655
Mailing Address - Country:US
Mailing Address - Phone:206-522-0269
Mailing Address - Fax:206-522-5595
Practice Address - Street 1:5306 BALLARD AVE NW STE 207
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-4366
Practice Address - Country:US
Practice Address - Phone:206-522-0269
Practice Address - Fax:206-522-5595
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS63141041C0700X
WALW60961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAEL0020OtherREGENCE BLUE SHIELD
WA7116109OtherAETNA
WA8912223OtherCRIME VICTIMS COMP. PROGR
WA8912223OtherCRIME VICTIMS COMP. PROGR
WA7116109OtherAETNA