MEDICARE: MR. ANDREW JOHN SWEGLER LMSW

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	101YM0800X	Mental Health Counselor	117976	TX

General Provider Information

NPI Number	:	1679411557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ANDREW JOHN SWEGLER LMSW

Provider Business Mailing Address
First Line	:	1609 WILSON RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-2836
Country	:	US
Telephone Number	:	817-614-2569
Fax Number	:

Provider Business Practice Location Address
First Line	:	1609 WILSON RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-2836
Country	:	US
Telephone Number	:	817-614-2569
Fax Number	:

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

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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