Provider Demographics
NPI:1881244184
Name:CARD, CHRISTOPHER LYNN (LCSW)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:LYNN
Last Name:CARD
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13640 STATE ROUTE 22
Mailing Address - Street 2:
Mailing Address - City:CANAAN
Mailing Address - State:NY
Mailing Address - Zip Code:12029-3504
Mailing Address - Country:US
Mailing Address - Phone:518-781-4567
Mailing Address - Fax:518-781-0507
Practice Address - Street 1:203 MAIN ST
Practice Address - Street 2:
Practice Address - City:HUDSON FALLS
Practice Address - State:NY
Practice Address - Zip Code:12839-1812
Practice Address - Country:US
Practice Address - Phone:518-417-9074
Practice Address - Fax:518-480-3034
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-18
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-179691041C0700X
NY0908891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical