Provider Demographics
NPI:1780608067
Name:CHRISTENSEN, JAMIE S (MSW,LMSW)
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:S
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:MSW,LMSW
Other - Prefix:MISS
Other - First Name:JAMIE
Other - Middle Name:S
Other - Last Name:STRATER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:2900 VETERANS WAY # 122
Mailing Address - Street 2:
Mailing Address - City:VIERA
Mailing Address - State:FL
Mailing Address - Zip Code:32940-8007
Mailing Address - Country:US
Mailing Address - Phone:321-637-3644
Mailing Address - Fax:
Practice Address - Street 1:2900 VETERANS WAY # 122
Practice Address - Street 2:
Practice Address - City:VIERA
Practice Address - State:FL
Practice Address - Zip Code:32940-8007
Practice Address - Country:US
Practice Address - Phone:321-637-3644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010819611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical