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NPI Code Detail

MEDICARE: ALYSSA ASHLEY SWANSON

MEDICARE: ALYSSA ASHLEY SWANSON
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 WorkerMI

General Provider Information

NPI Number : 1285571505
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA ASHLEY SWANSON
Provider Business Mailing Address
First Line : 1651 E NICKERSON AVE
Second Line :
City : BENTON HARBOR
State : MI
Zip : 49022-2469
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1651 E NICKERSON AVE
Second Line :
City : BENTON HARBOR
State : MI
Zip : 49022-2469
Country : US
Telephone Number : 269-876-5697
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

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Directions to “ ALYSSA ASHLEY SWANSON ” Practice Location

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