MEDICARE: CHLOE SWAN

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

General Provider Information

NPI Number	:	1306777800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHLOE SWAN

Provider Business Mailing Address
First Line	:	636 COLUMBIA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-2628
Country	:	US
Telephone Number	:	832-248-1845
Fax Number	:

Provider Business Practice Location Address
First Line	:	11929 UNIVERSITY BLVD STE 2
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4755
Country	:	US
Telephone Number	:	281-829-8431
Fax Number	:

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

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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Directions to “ CHLOE SWAN ” Practice Location

Language	Start Address	Practice Location

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