Provider Demographics
NPI:1194887323
Name:MCGRAW, CHRISTINA B (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:B
Last Name:MCGRAW
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:B
Other - Last Name:MITCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ASW #15790
Mailing Address - Street 1:2918 WATERMAN CT.
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94534
Mailing Address - Country:US
Mailing Address - Phone:707-689-7844
Mailing Address - Fax:707-649-4008
Practice Address - Street 1:525 OREGON ST
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94590
Practice Address - Country:US
Practice Address - Phone:707-649-4068
Practice Address - Fax:707-649-4008
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2022-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW1042131041C0700X
CAASW15790104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker