Provider Demographics
NPI:1447012497
Name:EARLE, CHRISTINE (MSW, LSW)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:EARLE
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 STEVEN LN
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-1135
Mailing Address - Country:US
Mailing Address - Phone:302-419-7560
Mailing Address - Fax:
Practice Address - Street 1:151 STEVEN LN
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-1135
Practice Address - Country:US
Practice Address - Phone:302-419-7560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW138733104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker