Breanna Swank, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12605-123 Issued in WI

Practice address

1716 Fordem Ave
Madison, WI 53704-4604

Phone

(608) 669-8104

NPI assigned

Nov 29, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1164298295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4378 S JORDAN DR APT 7",
            "city": "MCFARLAND",
            "state": "WI",
            "postal_code": "535589024",
            "telephone_number": "608-669-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 FORDEM AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044604",
            "telephone_number": "608-669-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANK",
        "first_name": "BREANNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "134636-121",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "12605-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jagoda Julianna Swallop
• Arun X Swaminathan, M.B.B.S.
• Robin Sarjeant Swaminathan, D.C.
• Vishal Balasubramanian Swaminathan
• Mary Swandby, RPH
• Andrew M Swanson, M.D.
• Beth Miller Swanson, M.A., CCC-SLP
• Briana Lea Swanson, APNP
• Brock A Swanson, D.P.M.
• Bryan Butler Swanson, MD

• Clinical Social Worker in Madison, WI
• Providers in Madison, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.