Provider Demographics
NPI:1720452717
Name:STEIN, CHRISTINA JENKINS (LCSW-BACS)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:JENKINS
Last Name:STEIN
Suffix:
Gender:F
Credentials:LCSW-BACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6923 W END BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-2326
Mailing Address - Country:US
Mailing Address - Phone:504-710-7000
Mailing Address - Fax:504-895-4262
Practice Address - Street 1:3600 PRYTANIA ST
Practice Address - Street 2:SUITE 18
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3628
Practice Address - Country:US
Practice Address - Phone:504-891-1317
Practice Address - Fax:504-891-1318
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-14
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA85201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical