Provider Demographics
NPI:1427454289
Name:ANDERSON, CHRISTIAN (PHD ACSW LCSW)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:PHD ACSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5005 W 81ST PL UNIT 200
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-4380
Mailing Address - Country:US
Mailing Address - Phone:303-250-2785
Mailing Address - Fax:720-398-8144
Practice Address - Street 1:5005 W 81ST PL UNIT 200
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-4380
Practice Address - Country:US
Practice Address - Phone:303-250-2785
Practice Address - Fax:720-398-8144
Is Sole Proprietor?:No
Enumeration Date:2014-11-06
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000178708Medicaid
CO09923378OtherCSW