Ganelle Swindler, SUDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP60297780 Issued in WA

Practice address

809 W Main St Ste C
Monroe, WA 98272-2172

Phone

(206) 552-0882

Fax

(844) 440-2147

NPI assigned

Nov 5, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1750104964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 191ST PL NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982234781",
            "telephone_number": "425-280-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 W MAIN ST STE C",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982722172",
            "telephone_number": "206-552-0882",
            "fax_number": "844-440-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINDLER",
        "first_name": "GANELLE",
        "credential": "SUDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60297780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Stutz
• Kelly Anne Sudore, R.N., B.S.N., D.C.
• April Suen, PHARMD
• Mitchell Hisao Suzawa, OT
• Krissy Marie Sweum Korneliussen
• Kenneth Warren Swinford, D.C.
• Joseph Cruz Szabo, DDS
• Sarah J Tainter, LMHC
• Darren K Takeshita, LMP
• Caroline Tang, PHARMD

• Addiction (Substance Use Disorder) Counselor in Monroe, WA
• Providers in Monroe, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.