Provider Demographics
NPI:1003023326
Name:SWAYNE, JUDITH MERAI (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:MERAI
Last Name:SWAYNE
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 1:2222 STONEHENGE LN
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75056-5559
Mailing Address - Country:US
Mailing Address - Phone:855-967-2372
Mailing Address - Fax:967-265-9911
Practice Address - Street 1:39 ROCKING PORCH LN
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-4304
Practice Address - Country:US
Practice Address - Phone:855-967-2372
Practice Address - Fax:972-265-9911
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCOO53321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical