MR. GEORGE LYNDON SWANBERG (NPI# 1770672743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770672743 |
| Entity Type | Individual |
| Full Name | MR. GEORGE LYNDON SWANBERG |
| Credential | LCSW, LSATP, MAC |
| Practice Address |
4308 Beaver Dam Rd Jeffersonton VA 22724-2001 |
| Practice Telephone | 5403479531 |
| Practice Fax Number | 7036917410 |
| Mailing Telephone | 5403479531 |
| Mailing Fax Number | 7036917410 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0718000188 | VA | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
0904006265 | VA | Behavioral Health & Social Service Providers |
| Street Address |
4308 BEAVER DAM RD |
| City | JEFFERSONTON |
| State | VA |
| Zip Code | 22724-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346201514 | William S Warfield | Pediatrics | 17215 Middleton Ct, Jeffersonton, VA 22724-1763 | 2006-03-29 |
| 1174970941 | Blue Ridge Caregivers, Inc. | In Home Supportive Care | 17191 Tattershall Way, Jeffersonton, VA 22724-1786 | 2016-05-20 |
| 1801159587 | David Couk | Specialist | 5228 Myers Mill Rd, Jeffersonton, VA 22724-2031 | 2012-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174970941 | Blue Ridge Caregivers, Inc. | In Home Supportive Care | 17191 Tattershall Way, Jeffersonton, VA 22724-1786 | 2016-05-20 |
| 1801159587 | David Couk | Specialist | 5228 Myers Mill Rd, Jeffersonton, VA 22724-2031 | 2012-06-19 |
| 1346201514 | William S Warfield | Pediatrics | 17215 Middleton Ct, Jeffersonton, VA 22724-1763 | 2006-03-29 |
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
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|---|---|---|---|---|
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| 1558961441 | Savanna Martin | Counselor | 15105 Knickerbocker Dr, Woodbridge, VA 22193-1880 | 2020-10-29 |
| 1588264626 | Primary Addiction Treatment Center (p.a.t.) | Counselor | 525 Oyster Point Rd Ste D, Newport News, VA 23602-6014 | 2020-10-28 |
| 1881201275 | Harvest Care Counseling Center, LLC | Counselor | 12604 Prestonfield Dr, Chester, VA 23836-5856 | 2020-09-29 |
| 1588278311 | Abeba Fekade | Counselor | 2800 Eisenhower Ave Ste 210, Alexandria, VA 22314-4587 | 2020-08-31 |
| 1346858305 | Gwendolyn Daniels Slade | Counselor | 9 Canoe Ct, Portsmouth, VA 23703-5380 | 2020-07-16 |
| 1255949210 | Brian Jones | Counselor | 3322 Western Branch Blvd, Chesapeake, VA 23321-5142 | 2020-07-16 |
| 1346867058 | Kristin Fitzgerald | Counselor | 2320 Broad Rock Blvd, Richmond, VA 23224-4812 | 2020-06-29 |
| 1861019754 | Sandra Hill | Counselor | 6900 Mimms Dr, Chesterfield, VA 23832 | 2020-06-26 |
| 1699392571 | Tonya Elizabeth Goff | Counselor | 29 Hampshire Glen Pkwy, Hampton, VA 23669-4809 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSONTON |
| Zip Code | 22724 |
Please comment or provide details below to improve the information on MR. GEORGE LYNDON SWANBERG.
| 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.