Provider Demographics
NPI:1568071405
Name:SYED-SWIFT, YUMNAH (LCSW)
Entity Type:Individual
Prefix:
First Name:YUMNAH
Middle Name:
Last Name:SYED-SWIFT
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 1:305 N MAIN ST UNIT 170
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:TX
Mailing Address - Zip Code:76574-3642
Mailing Address - Country:US
Mailing Address - Phone:310-927-0284
Mailing Address - Fax:
Practice Address - Street 1:606 BIG SUR TRL
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:TX
Practice Address - Zip Code:76574-7062
Practice Address - Country:US
Practice Address - Phone:310-927-0284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-27
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67123104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker