Provider Demographics
NPI:1710940226
Name:SIMPSON, CHRISTINE (MSW)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3315 SPRINGBANK LN STE 302
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-3198
Mailing Address - Country:US
Mailing Address - Phone:704-288-0314
Mailing Address - Fax:704-288-0310
Practice Address - Street 1:3315 SPRINGBANK LN STE 302
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-3198
Practice Address - Country:US
Practice Address - Phone:704-288-0314
Practice Address - Fax:704-288-0310
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0023571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC32453OtherBLUE CROSS BLUE SHIELD
NC2669OtherCBHA
NC92973989OtherUNITED BEHAVIORAL HEALTH
NC1163257OtherCIGNA
NC2669OtherCBHA