Provider Demographics
NPI:1477989119
Name:SWIFT, CARMARTHEN G (LICSW)
Entity Type:Individual
Prefix:MS
First Name:CARMARTHEN
Middle Name:G
Last Name:SWIFT
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:CARMARTHEN
Other - Middle Name:
Other - Last Name:YENTSCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW INTERN
Mailing Address - Street 1:30 KENNETH RD
Mailing Address - Street 2:
Mailing Address - City:EASTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027-2643
Mailing Address - Country:US
Mailing Address - Phone:413-244-9878
Mailing Address - Fax:877-467-1368
Practice Address - Street 1:30 KENNETH RD
Practice Address - Street 2:
Practice Address - City:EASTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027-2643
Practice Address - Country:US
Practice Address - Phone:413-244-9878
Practice Address - Fax:877-647-1368
Is Sole Proprietor?:No
Enumeration Date:2013-09-25
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1205871041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical