Organization Active NPI

Mary Beth Swanson LCSW LLC

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1619483732
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00992313 Issued in CO
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

Updated by the provider on Dec 27, 2017

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

Authorized official

Name
Mary Elizabeth Swanson, LCSWNPI 1336676485
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
9000148097MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.