1639241847 NPI number — DONNA STEVENSON SWOPE LCSW-C

Table of content: DONNA STEVENSON SWOPE LCSW-C (NPI 1639241847)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639241847 NPI number — DONNA STEVENSON SWOPE LCSW-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SWOPE
Provider First Name:
DONNA
Provider Middle Name:
STEVENSON
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCSW-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1639241847
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/16/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
22 BROADWAY
Provider Second Line Business Mailing Address:
1 FL W
Provider Business Mailing Address City Name:
HAGERSTOWN
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21740-4032
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
240-527-9896
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
22 BROADWAY
Provider Second Line Business Practice Location Address:
1 FL W
Provider Business Practice Location Address City Name:
HAGERSTOWN
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21740-4032
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
240-527-9896
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  02807 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 003592 . This is a "VALUE OPTIONS MARYLAND" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 550028911 . This is a "UNITED BEHAVIORAL HEALTH" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 900013946001 . This is a "APS HEALTHCARE BETHESDA INC." identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: K8700-001 . This is a "FEDERAL BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 000035689 . This is a "INTEGRATED BEHAVIORAL HEALTH" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 00142169703 . This is a "MARYLAND BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 260819000 . This is a "MAGELLAN HEALTHCARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: Q181TR-001 . This is a "CAREFIRST BLUECROSS/BLUE SHIELD AND CAREFIRST BLUE CHOICE, INC." identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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