Provider Demographics
NPI:1144685066
Name:BINDEWALD, CHRISTOPHER (LMSW)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:BINDEWALD
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:CHRIS
Other - Middle Name:
Other - Last Name:BINDEWALD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:30 N GOULD ST STE 9266
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-6317
Mailing Address - Country:US
Mailing Address - Phone:833-436-7674
Mailing Address - Fax:
Practice Address - Street 1:3305 METAIRIE RD APT 3109
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-5215
Practice Address - Country:US
Practice Address - Phone:833-436-7674
Practice Address - Fax:833-438-5800
Is Sole Proprietor?:No
Enumeration Date:2015-12-18
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
LA12759104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator