| Doctor Name: | MR. GERALD A. SWENSON |
| NPI Number: | 1003889486 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | R040844 |
| Business Practice Address: | 1940 Commerce St Suite 109 Yorktown Heights, NY - 105984428 |
| Business Phone Number: | 9142457598 |
| Business Fax Number: | 9142453574 |
| Mailing Address: | 2834 Hickory St, YORKTOWN HEIGHTS |
| State: | NY |
| Postal Code: | 105982730 |
| Phone Number: | 9142457598 |
| Fax Number: | 9142453574 |
| NPI Enumeration Date: | 02/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | R040844 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |