MEDICARE: MR. DAVID FRANKLIN SWAYNE JR. 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	09924937	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	14126695	OTHER		CAQH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952396681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID FRANKLIN SWAYNE JR. LCSW

Provider Business Mailing Address
First Line	:	1330 QUAIL LAKE LOOP STE 260
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-4651
Country	:	US
Telephone Number	:	719-540-2100
Fax Number	:	719-540-2102

Provider Business Practice Location Address
First Line	:	1330 QUAIL LAKE LOOP STE 260
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-4651
Country	:	US
Telephone Number	:	719-540-2100
Fax Number	:	719-540-2102

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

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	02/28/2018

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