Basic Information
| Provider Information | |||||||||
| NPI: | 1902226376 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SWART | ||||||||
| FirstName: | AARON | ||||||||
| MiddleName: | MATTHEW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5935 BRAMBLEBERRY WAY | ||||||||
| Address2: | |||||||||
| City: | RALEIGH | ||||||||
| State: | NC | ||||||||
| PostalCode: | 276166626 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9196274658 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5509 CREEDMOOR RD | ||||||||
| Address2: | |||||||||
| City: | RALEIGH | ||||||||
| State: | NC | ||||||||
| PostalCode: | 276126312 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9195736545 | ||||||||
| FaxNumber: | 9195736555 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/23/2014 | ||||||||
| LastUpdateDate: | 04/23/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | P008684 | NC | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.