Provider Demographics
NPI:1083017602
Name:SWAN, CATHERINE (LCSW)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:SWAN
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 1:6725 S FRY RD
Mailing Address - Street 2:SUITE 700-340
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-8102
Mailing Address - Country:US
Mailing Address - Phone:832-278-8511
Mailing Address - Fax:281-715-2859
Practice Address - Street 1:1832 SNAKE RIVER RD
Practice Address - Street 2:SUITE E
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-7741
Practice Address - Country:US
Practice Address - Phone:832-278-8511
Practice Address - Fax:281-715-2859
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-28
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX402681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical