Healthcare Provider Details

I. General information

NPI: 1255496345
Provider Name (Legal Business Name): MARGARET DEPUY SWAN MA LPC LMFT LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23613 FRONT ST ACCOMAC FAMILY COUNSELING
ACCOMAC VA
23301
US

IV. Provider business mailing address

PO BOX 708 ACCOMAC
ACCOMAC VA
23301
US

V. Phone/Fax

Practice location:
  • Phone: 757-787-9155
  • Fax: 757-787-9156
Mailing address:
  • Phone: 757-787-9155
  • Fax: 757-787-9156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701002318
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC0230
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0717000393
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: