Amanda Swan, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7070 Issued in SC

Practice address

815 Jonesville Rd
Simpsonville, SC 29681-4504

Phone

(561) 400-0871

NPI assigned

Oct 2, 2019

Last updated

Oct 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Swan Speech Therapy Inc.

  • Speech-Language Pathologist
  • Simpsonville, SC
  • NPI 1679228274
  NPD Authorized official
• Comprehensive Therapeutics LTD

  • Physical Therapist
  • Gaffney, SC
  • NPI 1437765583

  Speech-Language Pathologist

  NPD
• Comprehensive Therapeutics LTD

  • Physical Therapist
  • Lagrange, GA
  • NPI 1881458354

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1710528658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HILLCREST DR",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293602343",
            "telephone_number": "864-984-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 JONESVILLE RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814504",
            "telephone_number": "561-400-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAN",
        "first_name": "AMANDA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2021-10-19",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "7070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA2272",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suretrans LLC
• Suretrans LLC
• Dana Swafford
• Swamp Rabbit Home Care, LLC
• Swan Speech Therapy Inc.
• Gregory Swaringen, MDIV, MA, LPCA
• Michael Ryan Sweeney, DPM
• William Phillip Swinderman III, D.D.S.
• Betty Syverson
• Samantha Leigh Tadlock, PTA

• Speech-Language Pathologist in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.