Provider Demographics
NPI:1841331998
Name:CHRISTENSEN, ERIK (LCSW)
Entity type:Individual
Prefix:MR
First Name:ERIK
Middle Name:
Last Name:CHRISTENSEN
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 1:1716 FIELDSTONE DR N
Mailing Address - Street 2:
Mailing Address - City:SHOREWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60431-8107
Mailing Address - Country:US
Mailing Address - Phone:815-729-0831
Mailing Address - Fax:
Practice Address - Street 1:19027 S JODI RD
Practice Address - Street 2:SUITE H
Practice Address - City:MOKENA
Practice Address - State:IL
Practice Address - Zip Code:60448-8546
Practice Address - Country:US
Practice Address - Phone:773-758-3364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-10
Last Update Date:2016-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490123221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical