Doctor Name: | DANIELLE SWANSON |
NPI Number: | 1376936179 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | CW018473 |
Business Practice Address: | 890 Beaver Grade Rd Upper Level Moon Township, PA - 151082653 |
Business Phone Number: | 7244570858 |
Business Fax Number: | 7244570867 |
Mailing Address: | Po Box 5545, POLAND |
State: | OH |
Postal Code: | 445140545 |
Phone Number: | 7244570858 |
Fax Number: | 7244570867 |
NPI Enumeration Date: | 03/18/2015 |
NPI Last Update Date: | 03/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW018473 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |