Provider Demographics
NPI:1871363739
Name:SWINDLE, CONSTANCE NICOLE ARNOLD (LICSW, BCC, 200-RYT)
Entity type:Individual
Prefix:MS
First Name:CONSTANCE
Middle Name:NICOLE ARNOLD
Last Name:SWINDLE
Suffix:
Gender:F
Credentials:LICSW, BCC, 200-RYT
Other - Prefix:
Other - First Name:NICKI
Other - Middle Name:ARNOLD
Other - Last Name:SWINDLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LICSW, BCC, 200-RYT
Mailing Address - Street 1:229 E 22ND ST
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-2905
Mailing Address - Country:US
Mailing Address - Phone:256-405-9507
Mailing Address - Fax:
Practice Address - Street 1:229 E 22ND ST
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-2905
Practice Address - Country:US
Practice Address - Phone:256-405-9507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP1600X
AL5496C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral