Provider Demographics
NPI:1700233269
Name:WINTERS, CHRISTOPHER WELLS
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:WELLS
Last Name:WINTERS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 S LONGFIELD DR
Mailing Address - Street 2:
Mailing Address - City:SUN PRAIRIE
Mailing Address - State:WI
Mailing Address - Zip Code:53590-4659
Mailing Address - Country:US
Mailing Address - Phone:917-991-3306
Mailing Address - Fax:
Practice Address - Street 1:122 W WASHINGTON AVE STE 630
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53703-2758
Practice Address - Country:US
Practice Address - Phone:608-466-6688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-15
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.014664104100000X
WI8930-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker