Provider Demographics
NPI:1336683861
Name:SWILLER, ALLISON (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:SWILLER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 GARY ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-2201
Mailing Address - Country:US
Mailing Address - Phone:919-682-4124
Mailing Address - Fax:919-956-7703
Practice Address - Street 1:609 GARY ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-2201
Practice Address - Country:US
Practice Address - Phone:919-682-4124
Practice Address - Fax:919-956-7703
Is Sole Proprietor?:No
Enumeration Date:2016-12-19
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0059811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical