Provider Demographics
NPI:1306285614
Name:LAW, CHRISTINA (LCSW-C)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:LAW
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:257 MEDWICK GARTH E
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-2101
Mailing Address - Country:US
Mailing Address - Phone:410-302-5412
Mailing Address - Fax:888-972-5183
Practice Address - Street 1:6106 EDMONDSON AVE
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-1830
Practice Address - Country:US
Practice Address - Phone:410-302-5412
Practice Address - Fax:888-972-5183
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-19
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD150521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical