Provider Demographics
NPI:1447507967
Name:REMMERS, CHRISTINA ELAINE (MSW, LCSW-A)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:ELAINE
Last Name:REMMERS
Suffix:
Gender:F
Credentials:MSW, LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 N ARCADIAN WAY
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-9219
Mailing Address - Country:US
Mailing Address - Phone:804-920-3594
Mailing Address - Fax:
Practice Address - Street 1:201 N CHURCH ST
Practice Address - Street 2:SUITE M
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28115-2583
Practice Address - Country:US
Practice Address - Phone:704-241-3251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0074631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical