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NPI Code Detail

MEDICARE: DEBORAH ANN SWANSTROM LCSW-C

MEDICARE: DEBORAH ANN SWANSTROM LCSW-C
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 Worker25305MD

General Provider Information

NPI Number : 1124663794
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH ANN SWANSTROM LCSW-C
Provider Business Mailing Address
First Line : 13313 RIDGE DR
Second Line :
City : ROCKVILLE
State : MD
Zip : 20850-3617
Country : US
Telephone Number : 301-938-2450
Fax Number :
Provider Business Practice Location Address
First Line : 20410 OBSERVATION DR STE 212
Second Line :
City : GERMANTOWN
State : MD
Zip : 20876-4068
Country : US
Telephone Number : 240-296-5929
Fax Number : 301-263-7942
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2019
Last Update Date : 11/14/2025

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