Christensen, Carl William
Christensen, Carl William is an sole proprietor health care provider with primary practice located at 277 Alexander St. Suite 306, Rochester NY 14607. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Christensen, Carl William can be contacted via phone (585) 262-4303.Contact Information
Primary practice address
277 Alexander St. Suite 306
Rochester NY 14607
Phone: (585) 262-4303
Fax: (585) 262-4363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | RO36366-1 | New York |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | PENDING | New York |
Profile Details
| NPI number | 1083683338 |
|---|---|
| LBN Legal business name | Christensen, Carl William |
| Credentials | LCSW-R |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Jan 17th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083683338 | NPPES |
| New York | Other | 103235FK | PREFERRED CARE |
| New York | Other | 010036366 | PREFERRED CARE |
| New York | MEDICAID | 01410746 | PREFERRED CARE |
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