Provider Demographics
NPI:1215175427
Name:SIEGFRIED, CHRISTINE LEIGH (LCSW)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:LEIGH
Last Name:SIEGFRIED
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 1:8207 GRANDEUR DR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28146-1634
Mailing Address - Country:US
Mailing Address - Phone:814-758-8469
Mailing Address - Fax:
Practice Address - Street 1:8207 GRANDEUR DR
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28146-1634
Practice Address - Country:US
Practice Address - Phone:814-758-8469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-26
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCO183221041C0700X
101YP2500X
PACW0184241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional