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NPI Code Detail

MEDICARE: CHANDLER SWOPE MSW

MEDICARE: CHANDLER SWOPE MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLC50079148DC

General Provider Information

NPI Number : 1053759076
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANDLER SWOPE MSW
Provider Business Mailing Address
First Line : 3506 NEW HAMPSHIRE AVE NW
Second Line : APT 3
City : WASHINGTON
State : DC
Zip : 20010-1593
Country : US
Telephone Number : 202-213-2845
Fax Number :
Provider Business Practice Location Address
First Line : 1436 U ST NW
Second Line : SUITE 303
City : WASHINGTON
State : DC
Zip : 20009-3997
Country : US
Telephone Number : 202-540-1045
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2013
Last Update Date : 06/12/2013

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Directions to “ CHANDLER SWOPE MSW” Practice Location

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