Provider Demographics
NPI:1063582682
Name:NUNES, CHRISTIAN FAITH (MS LCSW)
Entity type:Individual
Prefix:MS
First Name:CHRISTIAN
Middle Name:FAITH
Last Name:NUNES
Suffix:
Gender:F
Credentials:MS LCSW
Other - Prefix:MS
Other - First Name:CHRISTIAN
Other - Middle Name:FAITH
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS LCSW
Mailing Address - Street 1:107 GENEVA AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-5104
Mailing Address - Country:US
Mailing Address - Phone:202-556-1536
Mailing Address - Fax:
Practice Address - Street 1:6909 LAUREL AVENUE
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912
Practice Address - Country:US
Practice Address - Phone:202-556-1536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW118181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ984246Medicaid