Provider Demographics
NPI:1740518794
Name:LANCASTER, CHRISTOPHER W (LCSW)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:W
Last Name:LANCASTER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 W HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:MS
Mailing Address - Zip Code:38851-2209
Mailing Address - Country:US
Mailing Address - Phone:662-542-3444
Mailing Address - Fax:
Practice Address - Street 1:337 E MADISON ST STE 6
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:MS
Practice Address - Zip Code:38851-2300
Practice Address - Country:US
Practice Address - Phone:662-801-6378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSC58921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical