Active NPI
Matthew Swan, LSW
- Marriage & Family Therapist
- Glassboro, NJ
National Provider Identifier
1669155297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 44SL06700200
- Practice address
- 42 Delsea Dr S
Glassboro, NJ 08028-2621 - Phone
- (844) 422-3632
- NPI assigned
- Aug 10, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 44SL06700200 | NJ | Primary |
Addresses
Primary practice location
42 Delsea Dr S
Glassboro, NJ 08028-2621
Mailing address
425 Sheridan Ave
Vineland, NJ 08360-7722
Phone (856) 776-0207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06700200 | NJ | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1669155297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 SHERIDAN AVE",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083607722",
"telephone_number": "856-776-0207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 DELSEA DR S",
"city": "GLASSBORO",
"state": "NJ",
"postal_code": "080282621",
"telephone_number": "844-422-3632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAN",
"first_name": "MATTHEW",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-10",
"last_updated": "2023-08-10",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NJ",
"license": "44SL06700200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glassboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.