Provider Demographics
NPI:1245436070
Name:LIMA, CHRISTINA MARIA (LCSW-R)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:MARIA
Last Name:LIMA
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 DIKEMAN ST
Mailing Address - Street 2:3F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11231-1284
Mailing Address - Country:US
Mailing Address - Phone:718-246-0512
Mailing Address - Fax:
Practice Address - Street 1:100 W MOSHOLU PKWY S
Practice Address - Street 2:ROOM 262
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468-1001
Practice Address - Country:US
Practice Address - Phone:718-549-8022
Practice Address - Fax:718-549-7977
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043076-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical