Basic Information
Provider Information
NPI: 1316302425
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STEINAGEL
FirstName: CHRISTINA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2479 ALOMA AVE
Address2:  
City: WINTER PARK
State: FL
PostalCode: 327922541
CountryCode: US
TelephoneNumber: 7028077995
FaxNumber: 4078946010
Practice Location
Address1: 2479 ALOMA AVE
Address2:  
City: WINTER PARK
State: FL
PostalCode: 327922541
CountryCode: US
TelephoneNumber: 7028077995
FaxNumber: 4078946010
Other Information
ProviderEnumerationDate: 12/17/2015
LastUpdateDate: 12/17/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X  Y Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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