CAROLE LEIGH CAMPBELL SWIECICKI (NPI# 1629253414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629253414 |
Entity Type | Individual |
Full Name | CAROLE LEIGH CAMPBELL SWIECICKI |
Other Name | CAROLE LEIGH CAMPBELL |
Credential | PH.D. |
Practice Address |
2834 Tradewind Dr Mount Pleasant SC 29466-7983 |
Practice Telephone | 8437258175 |
Mailing Telephone | 8437258175 |
Enumeration Date | 2007-12-31 |
Last Update Date | 2020-06-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
1327 | SC | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
0810003901 | VA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | LICENSE | 0810003901 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
935 Redgate Avenue, Child Abuse Program-chkd, Norfolk, VA 23507 | 7576686100 | 7576686109 |
1061 King St, Charleston, SC 294033708 | 8437258175 |
Street Address |
2834 TRADEWIND DR |
City | MOUNT PLEASANT |
State | SC |
Zip Code | 29466-7983 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720689276 | Sweetgrass Pharmacy Carolina Park, LLC | Pharmacy | 3485 Park Avenue Blvd, Mount Pleasant, SC 29466 | 2020-11-02 |
1942836754 | Southern Grace Pain & Regenerative Medicine | Clinic/Center | 3520 Park Avenue Blvd., Suite 105, Mount Pleasant, SC 29466 | 2020-03-13 |
1174175038 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 225 Faison Rd, Mount Pleasant, SC 29466 | 2019-07-11 |
1780246553 | Stacy Nicole Sherbutt | Dental Hygienist | Naval Weapons Statiom, 316 Red Bank Rd, Goose Creek, SC 29466 | 2019-07-02 |
1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
1609364835 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3525 Park Ave Blvd., Mount Pleasant, SC 29466 | 2018-04-24 |
1528561453 | Sea Island Medical Care | Clinic/Center | 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 | 2018-03-16 |
1992217707 | Kristina Estelle Johnson | Family Medicine | 2662, Lohr Dr, Mount Pleasant, SC 29466 | 2017-11-02 |
1801324181 | Collin T Weyer | Physical Therapist | 3301 Stockdale Street, Suite B, Mt. Pleasant, SC 29466 | 2017-05-31 |
1023467479 | Mariesa Eikevik | Physical Therapist | 3559 Franklin Tower Dr, Mount Pleasant, SC 29466 | 2016-06-07 |
Find all providers in zip 29466 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881292076 | Meaningful Change: Clinical & Consultation Psychology, Pllc | Psychologist | 1861 Woodland Dr, Mount Pleasant, MI 48858-1298 | 2020-10-11 |
1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
1881991677 | Pallas M. Mueller | Psychologist | 1261 Calais Dr, Mount Pleasant, SC 29464-4241 | 2011-02-15 |
1457546855 | Susan Jane Simonian | Psychologist | 857 Coleman Blvd Ste C, Mount Pleasant, SC 29464-4043 | 2007-09-09 |
1487799193 | Lisha Kievit | Psychologist | 523 Live Oak Dr, Mount Pleasant, SC 29464-4365 | 2007-02-20 |
1245390434 | Andrew Paul Perry | Psychologist | 857 Coleman Blvd Ste B, Mount Pleasant, SC 29464-4043 | 2006-12-11 |
1134770001 | Leah Boepple | Psychologist | 871 Lowcountry Blvd, Mount Pleasant, SC 29464-3066 | 2019-09-23 |
1922663301 | James Lawrence Carroll | Psychologist | 201 S University Ave, Mount Pleasant, MI 48858-2527 | 2019-05-01 |
1710411244 | Laura Bourn | Psychologist | 1459 Stuart Engals Blvd, Suite 204-a, Mount Pleasant, SC 29464-3600 | 2017-04-11 |
1578936548 | Erin Passow | Psychologist | 759 Johnnie Dodds Blvd, A, Mount Pleasant, SC 29464-3056 | 2015-11-12 |
Find all providers in MOUNT PLEASANT |
City | MOUNT PLEASANT |
Zip Code | 29466 |
Please comment or provide details below to improve the information on CAROLE LEIGH CAMPBELL SWIECICKI.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.