Sally Jay Swanberg, CDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP60311772 Issued in WA

Practice address

4230 198TH St SW
Lynnwood, WA 98036-6762

Phone

(425) 248-4900

Fax

(425) 248-4703

NPI assigned

Mar 1, 2018

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

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": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1164924676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 198TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366762",
            "telephone_number": "425-248-4900",
            "fax_number": "425-248-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 198TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366762",
            "telephone_number": "425-248-4900",
            "fax_number": "425-248-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANBERG",
        "first_name": "SALLY",
        "middle_name": "JAY",
        "name_prefix": "Ms.",
        "credential": "CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60311772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Bernard Sutro, O.D.
• Meghan Sutton
• Erin Elizabeth Swan, MSW
• Mariah S Swan
• Wendy L Swanberg Conaway, LMP
• Alexandria Octavia Sweeney
• Britni Swenson, MA-P
• Swift Ride LLP
• Swift Transportation, LLC
• Syed Jaffar Ali Shah

• Addiction (Substance Use Disorder) Counselor in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.