Victoria Lee Swanson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16814 Issued in MN

Practice address

4899 Miller Trunk Hwy Ste 208
Hermantown, MN 55811

Phone

(218) 727-3888

Fax

(218) 260-4772

NPI assigned

Oct 4, 2006

Last updated

Jul 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Victoria Lee Sundell Former name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• SMDC Medical Center

  dba Essentia Health Duluth-Amberwing Clinic

  • Adolescent and Children Mental Health Clinic/Center
  • Duluth, MN
  • NPI 1235488438
  Medicare reassignment NPD
• The Duluth Clinic LTD

  dba Essentia Health Cloquet Clinic

  • Multi-Specialty Clinic/Center
  • Cloquet, MN
  • NPI 1902563638
  Medicare reassignment NPD
• New Leaf Psychotherapy and Consulting

  dba New Leaf Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hermantown, MN
  • NPI 1760077218
  NPD
• The Duluth Clinic LTD

  dba Essentia Health Wellness Clinic Hermantown

  • Multi-Specialty Clinic/Center
  • Hermantown, MN
  • NPI 1003478892
  NPD
• The Duluth Clinic, LTD.

  dba Essentia Health Hinckley Pharmacy

  • Community/Retail Pharmacy
  • Hinckley, MN
  • NPI 1245081066
  NPD
• Northern Waters Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hermantown, MN
  • NPI 1316445455
  NPD (past)
• SMDC Medical Center

  dba Essentia Health Duluth

  • General Acute Care Hospital
  • Duluth, MN
  • NPI 1033153895
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1083700504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4899 MILLER TRUNK HWY STE 208",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558111582",
            "telephone_number": "218-727-3888",
            "fax_number": "218-260-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4899 MILLER TRUNK HWY STE 208",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "55811",
            "telephone_number": "218-727-3888",
            "fax_number": "218-260-4772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4899 Miller Trunk Hwy Ste 208",
            "address_purpose": "LOCATION",
            "city": "Hermantown",
            "state": "MN",
            "postal_code": "55811",
            "country_code": "US",
            "telephone_number": "218-727-3888",
            "fax_number": "218-260-4772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558051913",
            "country_code": "US",
            "telephone_number": "218-786-8364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "314 W Superior St Ste 702",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558021868",
            "country_code": "US",
            "telephone_number": "218-722-4058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "VICTORIA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "16814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "SUNDELL",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristi Marie Stroh, DPT
• Adam Paul Sundberg, D.C.
• Alannah Jane Sundgaard
• Michael Thomas Swanoski, PHARM.D.
• Erik Michael Swanson, PHARMD
• Christine Louise Swensen
• Michelle Symons, LICSW
• Alexandra Paige Syverson
• Malory Rose Marie Talamantes
• The Duluth Clinic LTD (Essentia Health Wellness Clinic Hermantown)

• Clinical Social Worker in Hermantown, MN
• Providers in Hermantown, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.