MEDICARE: MS. CLAUDIA MARINO SWANSON LICSW

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	LW60613857	WA

General Provider Information

NPI Number	:	1184946014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CLAUDIA MARINO SWANSON LICSW

Provider Business Mailing Address
First Line	:	2722 EASTLAKE AVE E
Second Line	:	SUITE 300
City	:	SEATTLE
State	:	WA
Zip	:	98102
Country	:	US
Telephone Number	:	845-853-2474
Fax Number	:

Provider Business Practice Location Address
First Line	:	2722 EASTLAKE AVE E
Second Line	:	SUITE 300
City	:	SEATTLE
State	:	WA
Zip	:	98102
Country	:	US
Telephone Number	:	845-853-2474
Fax Number	:

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

Provider Enumeration Date	:	02/19/2010
Last Update Date	:	09/08/2016

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