Provider Demographics
NPI:1174758544
Name:FOSTER, CHRISTA J (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:CHRISTA
Middle Name:J
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:CHRISTA
Other - Middle Name:
Other - Last Name:AUCREMANNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:1399 STEWARTSTOWN RD STE 210
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-4402
Mailing Address - Country:US
Mailing Address - Phone:304-680-4673
Mailing Address - Fax:
Practice Address - Street 1:1399 STEWARTSTOWN RD STE 210
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-4402
Practice Address - Country:US
Practice Address - Phone:304-680-4673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-28
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVDP009421811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV001899790OtherBLUE CROSS/BLUE SHIELD
WV1497768287OtherPARTNERSHIP NPI