Individual
CHARLA A CHENOWETH-SWIFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
916 ARIZONA AVE STE A, TRINIDAD, CO 81082-2118
(719) 680-4047
Mailing address
PO BOX 940, TRINIDAD, CO 81082-0940
(719) 680-4047
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW.09924146
CO
1041C0700X
Clinical Social Worker
LSCSW 4157
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200634150B
—
KS
Enumeration date
01/22/2010
Last updated
06/21/2019
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