Swanson Psychotherapeutic, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SWANSON PSYCHOTHERAPEUTIC, LLC

Practice address

311 S Central Ave Ste 104
Canonsburg, PA 15317-1637

Phone

(412) 737-6236

NPI assigned

Nov 7, 2019

Organization subpart

No

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

Authorized official

Name

Danielle Swanson, LCSW

Title

Psychotherapist

Phone

(412) 737-6236

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1467097980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 SETTER LN",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253284",
            "telephone_number": "412-737-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S CENTRAL AVE STE 104",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171637",
            "telephone_number": "412-737-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWANSON PSYCHOTHERAPEUTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "412-737-6236",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HIGHMARK",
            "identifier": "4125",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swansonpsychotherapy@outlook.com",
            "affiliation": "N",
            "address_1": "311 S Central Ave Ste 104",
            "city": "Canonsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "153171637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Canonsburg, PA
• Providers in Canonsburg, PA by specialty
• Adult Mental Health Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.