1922568773 NPI number — MS. CHRISTINA MCSWAIN BURKE MSW, LCSW

Table of content: MS. CHRISTINA MCSWAIN BURKE MSW, LCSW (NPI 1922568773)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922568773 NPI number — MS. CHRISTINA MCSWAIN BURKE MSW, LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BURKE
Provider First Name:
CHRISTINA
Provider Middle Name:
MCSWAIN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MSW, LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MCSWAIN
Provider Other First Name:
CHRISTINA
Provider Other Middle Name:
DAWN
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSW, LCSW
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1922568773
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/20/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
UNC CENTER FOR WOMEN'S MOOD DISORDERS
Provider Second Line Business Mailing Address:
77 VILCOM CENTER DR.; DAWSON HALL; SUITE 300
Provider Business Mailing Address City Name:
CHAPEL
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27514
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
984-974-5217
Provider Business Mailing Address Fax Number:
984-974-9646

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
UNC CENTER FOR WOMEN'S MOOD DISORDERS
Provider Second Line Business Practice Location Address:
77 VILCOM CENTER DR.; DAWSON HALL; SUITE 300
Provider Business Practice Location Address City Name:
CHAPEL
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27514
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
984-974-5217
Provider Business Practice Location Address Fax Number:
984-974-9646
Provider Enumeration Date:
03/20/2019

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  C003431 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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