Active NPI
Mary Beth Swanson LCSW LLC
- Clinical Social Worker
- Fort Collins, CO
National Provider Identifier
1619483732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 00992313
- Legal business name
- MARY BETH SWANSON LCSW LLC
- Practice address
- 209 E Plum St
Fort Collins, CO 80524-3442 - Phone
- (970) 581-5155
- NPI assigned
- Dec 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Elizabeth Swanson, LCSW
- Title
- Owner
- Phone
- (970) 581-5155
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 00992313 | CO | Primary |
Addresses
Primary practice location
209 E Plum St
Fort Collins, CO 80524-3442
Mailing address
3306 Dunbar Ave
Fort Collins, CO 80526-2356
Phone (970) 581-5155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000148097 | Medicaid | CO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Loveland, CO
- NPI 1336676485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1514332800000",
"number": "1619483732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3306 DUNBAR AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805262356",
"telephone_number": "970-581-5155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 E PLUM ST",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805243442",
"telephone_number": "970-581-5155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY BETH SWANSON LCSW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-27",
"last_updated": "2017-12-27",
"status": "A",
"authorized_official_last_name": "SWANSON",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "970-581-5155",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "00992313",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000148097",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.