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NPI Code Detail

MEDICARE: WHITNEY SWAN LICSW

MEDICARE: WHITNEY SWAN 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
11041C0700XClinical Social WorkerLICSW1143330MA

General Provider Information

NPI Number : 1952080095
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY SWAN LICSW
Provider Business Mailing Address
First Line : 1125 CENTRE ST
Second Line :
City : JAMAICA PLAIN
State : MA
Zip : 02130-3495
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1125 CENTRE ST
Second Line :
City : JAMAICA PLAIN
State : MA
Zip : 02130-3495
Country : US
Telephone Number : 617-524-3116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2023
Last Update Date : 05/20/2026

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Directions to “ WHITNEY SWAN LICSW” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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