Provider Demographics
NPI:1275692758
Name:CULLEN-SWAYZE, COLLEEN DENISE (LCSW)
Entity type:Individual
Prefix:MS
First Name:COLLEEN
Middle Name:DENISE
Last Name:CULLEN-SWAYZE
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 1:491 ALLENDALE RD STE 320
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1432
Mailing Address - Country:US
Mailing Address - Phone:610-544-2110
Mailing Address - Fax:833-449-5124
Practice Address - Street 1:491 ALLENDALE RD STE 320
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1432
Practice Address - Country:US
Practice Address - Phone:610-544-2110
Practice Address - Fax:833-449-5124
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0187631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical