=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902224835
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ERIKA NOELLE SWANSON I PHD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/28/2014
-----------------------------------------------------
Last Update Date | 03/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | CLEARWATER COUNSELING & ASSESSMENT SERVICES 1 BATES BLVD STE 400
-----------------------------------------------------
City | ORINDA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94563-2800
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 510-596-8137
-----------------------------------------------------
Fax | 510-596-8955
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1 BATES BLVD STE 400
-----------------------------------------------------
City | ORINDA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94563-2800
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 510-596-8137
-----------------------------------------------------
Fax | 510-596-8955
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number | 1912115098
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number | PSY26599
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------