Provider Demographics
NPI:1265598254
Name:POWELL, CHRISTINA M (LCSW, LIMHP)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:M
Last Name:POWELL
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Gender:F
Credentials:LCSW, LIMHP
Other - Prefix:
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Mailing Address - Street 1:8200 DODGE ST
Mailing Address - Street 2:CHILDREN'S HOSPITAL & MEDICAL CENTER
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-4113
Mailing Address - Country:US
Mailing Address - Phone:402-955-5400
Mailing Address - Fax:
Practice Address - Street 1:1000 N 90TH ST STE 200
Practice Address - Street 2:CHILDREN'S BEHAVIORAL HEALTH
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-2766
Practice Address - Country:US
Practice Address - Phone:402-955-3900
Practice Address - Fax:402-955-3920
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE11471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical