Provider Demographics
NPI:1881882751
Name:LERNER, CHRISTINE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:
Last Name:LERNER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12645 W BURLEIGH RD
Mailing Address - Street 2:SUITE 28
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53005-3102
Mailing Address - Country:US
Mailing Address - Phone:262-784-2631
Mailing Address - Fax:262-784-2672
Practice Address - Street 1:12645 W BURLEIGH RD
Practice Address - Street 2:SUITE 28
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-3102
Practice Address - Country:US
Practice Address - Phone:262-784-2631
Practice Address - Fax:262-784-2672
Is Sole Proprietor?:No
Enumeration Date:2007-10-04
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7398-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical