Provider Demographics
NPI:1770268096
Name:FOERSTER, CHRISTINA LAREE (MSW, APSW)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:LAREE
Last Name:FOERSTER
Suffix:
Gender:F
Credentials:MSW, APSW
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:LAREE
Other - Last Name:FRASL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2842 N 90TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53222-4611
Mailing Address - Country:US
Mailing Address - Phone:503-853-0155
Mailing Address - Fax:
Practice Address - Street 1:2842 N 90TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53222-4611
Practice Address - Country:US
Practice Address - Phone:503-853-0155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-15
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI132883-121104100000X
ORA154581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker