Provider Demographics
NPI:1801175989
Name:DADSWELL, CHRISTINA (LMSW, CBIS, C-ASWCM)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:
Last Name:DADSWELL
Suffix:
Gender:F
Credentials:LMSW, CBIS, C-ASWCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13425 19 MILE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313-1991
Mailing Address - Country:US
Mailing Address - Phone:586-530-9454
Mailing Address - Fax:
Practice Address - Street 1:13425 19 MILE RD STE 200
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48313-1991
Practice Address - Country:US
Practice Address - Phone:586-530-9454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-08
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010918791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical