CHARLEY LEIGH SWAN (NPI# 1275862849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275862849 |
| Entity Type | Individual |
| Full Name | CHARLEY LEIGH SWAN |
| Credential | M.A. |
| Practice Address |
11 Wavecrest Ave Venice CA 90291-6213 |
| Practice Telephone | 9109882725 |
| Mailing Telephone | 9109882725 |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2015-04-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 83292 | CA | Behavioral Health & Social Service Providers |
| Street Address |
11 WAVECREST AVE |
| City | VENICE |
| State | CA |
| Zip Code | 90291-6213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033629837 | Dylan Booth | Dentist | 601 Vernon Ave, Venice, CA 90291 | 2017-10-05 |
| 1467979500 | Linda Sittler | Registered Nurse | 1025 Palms Ave, Venice, CA 90291 | 2017-08-29 |
| 1003218660 | Patricia Guadalupe Rivas | Counselor | 717 Lincoln Blvd., Venice, CA 90291 | 2014-09-25 |
| 1497016877 | Carrie Lynn Kowalski | Physician Assistant | 604 Rose Avenue, Venice, CA 90291 | 2012-06-02 |
| 1821364761 | Cheryl Lynn Perkins | Nutritionist | 215 Culver Boulevard, # 5203, Playa Del Rey, CA 90291 | 2012-03-26 |
| 1629391875 | James L. Hoff | Optometrist | 1636 Abbot Kinney Blvd., Venice, CA 90291 | 2010-03-02 |
| 1720315096 | Kristen Nicol Leishman | Counselor | 911 Coeur D'alene Ave, Venice, CA 90291 | 2009-11-06 |
| 1922237882 | David Anthony Garcia | Physician Assistant | 15031 Rinaldi St., Providence Holy Cross Medical Center Ed, Mission Hills, CA 90291 | 2009-07-13 |
| 1548411010 | David Watts | Acupuncturist | 307 S. Robertson Blvd, Beverly Hills, CA 90291 | 2008-10-02 |
| 1184891699 | Judy Alexander | Voluntary or Charitable | 204 Hampton Drive, St Joseph Center, Venice, CA 90291 | 2008-05-14 |
| Find all providers in zip 90291 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518604 | John William Johnson | Marriage & Family Therapist | 2700 Abbot Kinney Blvd Apt 11, Venice, CA 90291-4772 | 2020-11-02 |
| 1467068353 | Eric Paulson | Marriage & Family Therapist | 1210 Victoria Ave, Venice, CA 90291-4023 | 2020-09-17 |
| 1952894370 | Gali Barak | Marriage & Family Therapist | 340 Sunset Ave, Venice, CA 90291-2632 | 2018-06-11 |
| 1114434800 | Kevin Kunkel | Marriage & Family Therapist | 122 Lincoln Blvd Ste 203, Venice, CA 90291-2859 | 2018-01-04 |
| 1073034187 | Mary Barbour | Marriage & Family Therapist | 640 Woodlawn Ave, Venice, CA 90291-4851 | 2017-06-28 |
| 1699916577 | Brenda Kay Beardsley | Marriage & Family Therapist | 40 1/2 Paloma Ave, Venice, CA 90291-2895 | 2009-03-23 |
| 1538309828 | Michael Israel | Marriage & Family Therapist | 20 Ozone Ave, Venice, CA 90291-2410 | 2009-02-25 |
| 1457506594 | Rudolfo J Berru | Marriage & Family Therapist | 408 S Venice Blvd Apt 2, Venice, CA 90291-4674 | 2008-11-17 |
| 1922263060 | Margaret Lindauer-comden | Marriage & Family Therapist | 2013 Oakwood Ave, Venice, CA 90291-3810 | 2008-07-28 |
| 1205030343 | Nancy Aline Zoss | Marriage & Family Therapist | 705 Marco Place, Venice, CA 90291 | 2007-06-13 |
| Find all providers in VENICE | ||||
Please comment or provide details below to improve the information on CHARLEY LEIGH SWAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.