Provider Demographics
NPI:1376256172
Name:CHRISTMAN, JASON A (MSW, LSW)
Entity type:Individual
Prefix:MR
First Name:JASON
Middle Name:A
Last Name:CHRISTMAN
Suffix:
Gender:M
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1613 SIERRA HIGHLANDS DR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60586-5708
Mailing Address - Country:US
Mailing Address - Phone:815-409-8710
Mailing Address - Fax:
Practice Address - Street 1:14722 S NAPERVILLE RD
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-3302
Practice Address - Country:US
Practice Address - Phone:815-683-8700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-27
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.106754104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker