Provider Demographics
NPI:1346819695
Name:SWARTZ, CARA (CDCA)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:SWARTZ
Suffix:
Gender:
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3668 CLEVELAND AVE APT C1
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43224-2921
Mailing Address - Country:US
Mailing Address - Phone:440-470-0585
Mailing Address - Fax:
Practice Address - Street 1:3668 CLEVELAND AVE APT C1
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43224-2921
Practice Address - Country:US
Practice Address - Phone:440-470-0585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-22
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
OH191543101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator