Alicia De la Rosa Swartzendruber, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61108224 Issued in WA

Practice address

9512 NW 29TH Ave
Vancouver, WA 98665-6120

Phone

(805) 259-6864

NPI assigned

Mar 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marvin Behavioral Health Ca PC

  • Psychologist
  • Marina del Rey, CA
  • NPI 1164002846

  Clinical

  NPD (past)

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1629654918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9512 NW 29TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986656120",
            "telephone_number": "805-259-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9512 NW 29TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986656120",
            "telephone_number": "805-259-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARTZENDRUBER",
        "first_name": "ALICIA",
        "middle_name": "DE LA ROSA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61108224",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW97104",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11976608-3501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Marie Swart, BSW
• Cassius Swartz
• Conrad M Swartz, M.D., PH.D.
• Jeffrey Lewis Swartz, DPT
• Regina Swartz, LMP
• John William Swavely, QMHA
• Terrance Sweaney
• Amanda L Swearingen, PT, DPT
• Stephen Swearingen, LMHC
• Trevor Swedeen

• Clinical Social Worker in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.