MRS. CHRISTINA MARIE WARDEN – Clinical Social Worker, NPI 1225371008

MRS. CHRISTINA MARIE WARDEN is a healthcare provider. based in Winnebago, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 149.013199 (IL). The NPI Number for MRS. CHRISTINA MARIE WARDEN is 1225371008

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CHRISTINA MARIE WARDEN
NPI
1225371008
Phone
(815) 335-1381
Address
119 S BENTON ST
Enumeration Date
31 March 2013
Last Update Date
9 April 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7793680060
Graduation Year
2005 (21 years ago)
PAC ID
5890006860
Group Practice PAC ID
2163944190
Professional Enrollment ID
I20150617000781
Address ID
IL611092816RO6392XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for MRS. CHRISTINA MARIE WARDEN

  • 119 S BENTON ST

    WINNEBAGO, IL 610888582

    Phone: (815) 335-1381

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-06-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150617000781IClinical Social WorkerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61088)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163944190View full group profile
NameSpecialtyState
Mental Health CounselorIL
Marriage And Family TherapistIL
Mental Health CounselorIL
Clinical Social WorkerIL
Mental Health CounselorIL
Mental Health CounselorIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

What federal number belongs to MRS. CHRISTINA MARIE WARDEN?
The federal identifier for MRS. CHRISTINA MARIE WARDEN is NPI 1225371008.
Is MRS. CHRISTINA MARIE WARDEN's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MRS. CHRISTINA MARIE WARDEN?
The page reflects Clinical Social Worker for MRS. CHRISTINA MARIE WARDEN. Clinical services aligned with this taxonomy classification.
Does MRS. CHRISTINA MARIE WARDEN practice in Illinois?
You will see Winnebago, Illinois on file for MRS. CHRISTINA MARIE WARDEN alongside any extra practice locations.
Is MRS. CHRISTINA MARIE WARDEN a real provider?
This page reflects official NPPES data for NPI 1225371008. Always confirm identity and privileges with the practice and licensing boards.

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