MEDICARE: MS. ALEXANDRIA JULIA SWALES MSW, LCSW, LICSW

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
1	1041C0700X	Clinical Social Worker	0904014746	VA
2	1041C0700X	Clinical Social Worker	.09930119	CO
3	1041C0700X	Clinical Social Worker	DC20001986	DC

General Provider Information

NPI Number	:	1265261929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALEXANDRIA JULIA SWALES MSW, LCSW, LICSW

Provider Business Mailing Address
First Line	:	241 GALAPAGO ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80223-1324
Country	:	US
Telephone Number	:	732-768-6199
Fax Number	:

Provider Business Practice Location Address
First Line	:	241 GALAPAGO ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80223-1324
Country	:	US
Telephone Number	:	732-768-6199
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2024
Last Update Date	:	07/31/2024

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