Marcy Swiatek Brandner, MFT
Individual provider Active NPI Marriage & Family Therapist · Sonoma, CA
NPI 1477853182 · NPPES record last updated Apr 28, 2020
Key facts
- NPI
- 1477853182
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LMFT111964 (CA)
- Practice address
- 19343 Sonoma Highway
Sonoma, CA 95476 - Phone
- (775) 337-2394
- Fax
- (775) 337-9570
- NPI assigned
- Oct 27, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT111964 | CA | MD | Marriage & Family Therapist |
| MFT.0001729 | CO | MD | Marriage & Family Therapist |
| 01240 | NV | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | 01240 | NV | |
| Marriage & Family Therapist | 106H00000X | MFT.0001729 | CO | |
| Marriage & Family Therapist | 106H00000X | LMFT111964 | CA | Yes |
Addresses
Primary practice location
19343 Sonoma Highway
Sonoma, CA 95476
Mailing address
18928 Railroad Ave
Sonoma, CA 95476-4536
Phone (775) 772-9790
Other names
- Marcy Swiatek
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All providers in Sonoma, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.