Individual
MS. KRISTINE ROOP CHAMPAGNE
Active
Individual
MS. KRISTINE ROOP CHAMPAGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
100774
MA
1041C0700X
Clinical Social Worker
Primary
LW60012216
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000246
CIGNA
WA
05
—
1852388
—
MA
01
—
1892967
MBHP
MA
05
—
2209399
—
WA
01
—
5776242
AETNA
WA
01
—
6A849
PREMERA
WA
01
—
761512
TUFTS HEALTH PLANS
MA
01
—
P02025
BLUE CROSS BLUE SHIELD
MA
Enumeration date
08/13/2006
Last updated
08/04/2026
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