Basic Information
| Provider Information | |||||||||
| NPI: | 1922568773 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BURKE | ||||||||
| FirstName: | CHRISTINA | ||||||||
| MiddleName: | MCSWAIN | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MSW, LCSW | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | MCSWAIN | ||||||||
| OtherFirstName: | CHRISTINA | ||||||||
| OtherMiddleName: | DAWN | ||||||||
| OtherNamePrefix: | MS. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | MSW, LCSW | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | UNC CENTER FOR WOMEN'S MOOD DISORDERS | ||||||||
| Address2: | 77 VILCOM CENTER DR.; DAWSON HALL; SUITE 300 | ||||||||
| City: | CHAPEL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 27514 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9849745217 | ||||||||
| FaxNumber: | 9849749646 | ||||||||
| Practice Location | |||||||||
| Address1: | UNC CENTER FOR WOMEN'S MOOD DISORDERS | ||||||||
| Address2: | 77 VILCOM CENTER DR.; DAWSON HALL; SUITE 300 | ||||||||
| City: | CHAPEL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 27514 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9849745217 | ||||||||
| FaxNumber: | 9849749646 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/20/2019 | ||||||||
| LastUpdateDate: | 03/20/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | C003431 | NC | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.