Healthcare Provider Details

I. General information

NPI: 1912783663
Provider Name (Legal Business Name): ELIZABETH SWOROBUK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2023
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 I ST NW
WASHINGTON DC
20005-3314
US

IV. Provider business mailing address

1300 I ST NW
WASHINGTON DC
20005-3314
US

V. Phone/Fax

Practice location:
  • Phone: 888-620-0095
  • Fax:
Mailing address:
  • Phone: 888-620-0095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLG200002868
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: