Provider Demographics
NPI:1336311521
Name:JANSING, CHRISTINA K (LCSW)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:K
Last Name:JANSING
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5558 SKYLARK DR
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-6081
Mailing Address - Country:US
Mailing Address - Phone:317-902-9932
Mailing Address - Fax:
Practice Address - Street 1:5558 SKYLARK DR
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-6081
Practice Address - Country:US
Practice Address - Phone:317-902-9932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-27
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34005410A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
INM400070630Medicare Oscar/Certification