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General NPI Number Information
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NPI Number | 1255067245
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Entity Type | Individual
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Provider Name | ALEXANDRA C. SWINNEY LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/01/2022
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 1278 W US HIGHWAY 40
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City | ODESSA
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State | MO
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Zip | 64076-9612
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Country | US
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Telephone | 844-853-8937
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Fax |
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Provider Business Mailing Address
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Address Line | 306 S INDEPENDENCE ST
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City | HARRISONVILLE
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State | MO
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Zip | 64701-2352
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Country | US
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Telephone | 816-380-4010
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 2022029450
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2025004620
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License Number State | MO
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