MEDICARE: REBECCA SWARD LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	0904019466	VA

General Provider Information

NPI Number	:	1154174381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA SWARD LCSW

Provider Business Mailing Address
First Line	:	6805 OMEGA CT
Second Line	:
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22407-2556
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10341 LAKE JACKSON DR
Second Line	:
City	:	MANASSAS
State	:	VA
Zip	:	20111-2829
Country	:	US
Telephone Number	:	657-749-8645
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2024
Last Update Date	:	11/12/2025

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