Provider Demographics
NPI:1245325919
Name:HUGHES, CHRISTIAN LYNNE (MSW, LISW)
Entity type:Individual
Prefix:MS
First Name:CHRISTIAN
Middle Name:LYNNE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MSW, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8809B CINCINNATI DAYTON RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-3134
Mailing Address - Country:US
Mailing Address - Phone:513-594-1507
Mailing Address - Fax:
Practice Address - Street 1:1659 SOUTH BREIEL BLVD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044-6705
Practice Address - Country:US
Practice Address - Phone:513-424-0921
Practice Address - Fax:513-424-4810
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI 00101811041C0700X
OHI-0010181101YM0800X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHSW29561Medicare PIN