=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972590990
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | VALERIE SWEARINGEN LCSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/04/2005
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1401 MALVERN AVE STE 265
-----------------------------------------------------
City | HOT SPRINGS
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 71901-6377
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 501-623-8989
-----------------------------------------------------
Fax | 501-609-0025
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 20097
-----------------------------------------------------
City | HOT SPRINGS
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 71903-0097
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 501-623-8828
-----------------------------------------------------
Fax | 501-760-9002
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 1149-C
-----------------------------------------------------
License Number State | AR
-----------------------------------------------------