David Gordon Swanson, MA

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

33 Commercial St
Gloucester, MA 01930-5040

Phone

(978) 283-7198

Fax

(978) 281-7793

NPI assigned

Jan 30, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 19, 2024 through Apr 19, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Justice Resource Institute, Inc.

  dba JRI Behavioral Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salem, MA
  • NPI 1093787095
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083750350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 WALL ST",
            "address_2": "APT. 4",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019303047",
            "telephone_number": "978-283-7198",
            "fax_number": "978-281-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 COMMERCIAL ST",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019305040",
            "telephone_number": "978-283-7198",
            "fax_number": "978-281-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "DAVID",
        "middle_name": "GORDON",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela A Stratton, LIC AC MAOM
• Molly Jameel Sughair
• Trudy A Summers, M.A., L.M.H.C.
• Yan Sun, DMD
• Nobiru Suzuki, DMD
• Sarah Jane Swart, M.ED.
• Jeremiah Sweet
• Lisa Tabbah, D.M.D.
• Lauren Tagliamonte
• Michelle Sova Tallgrass

• Counselor in Gloucester, MA
• Providers in Gloucester, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.