Provider Demographics
NPI:1225567829
Name:SWORDS, CAITLIN MORGAN
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:MORGAN
Last Name:SWORDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5801 EXECUTIVE CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212-8897
Mailing Address - Country:US
Mailing Address - Phone:704-567-0790
Mailing Address - Fax:704-567-8735
Practice Address - Street 1:5801 EXECUTIVE CENTER DR STE 200
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-8897
Practice Address - Country:US
Practice Address - Phone:704-567-0790
Practice Address - Fax:704-567-8735
Is Sole Proprietor?:No
Enumeration Date:2017-06-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA12929101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health