ANDREA JO SWANSON (NPI# 1922169762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922169762 |
| Entity Type | Individual |
| Full Name | ANDREA JO SWANSON |
| Credential | MS QMHP |
| Practice Address |
6415 Stanley Ilc Enterprises Berwyn IL 60402 |
| Mailing Address |
2457 N Talman Chicago IL 60647 |
| Practice Telephone | 7087880511 |
| Practice Fax Number | 7087880831 |
| Mailing Telephone | 7734865260 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144609967 | Andrea Lynne Swanson | Specialist/Technologist | 1630 W Riffle St, Wasilla, AK 99654-0910 | 2015-05-26 |
| 1538550496 | Andrea Renee Swanson | Counselor | 2015 E. 15th St., Suite 10, Casper, WY 82609 | 2015-02-13 |
| 1215598016 | Andrea Swanson | Counselor | 5851 E Mayflower Ct, Wasilla, AK 99654-7881 | 2019-06-24 |
| 1295263291 | Andrea Swanson | Massage Therapist | 23525 Ne Novelty Hill Rd Ste A109, Redmond, WA 98053-1995 | 2017-06-02 |
| 1982680807 | Andrea Kjrstin Swanson | Pharmacist | 200 1st St Sw, Rochester, MN 55905-0001 | 2005-12-22 |
| Street Address |
6415 STANLEY ILC ENTERPRISES |
| City | BERWYN |
| State | IL |
| Zip Code | 60402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750441366 | Mary E Weierman | Case Manager/Care Coordinator | 6415 Stanley, Berwyn, IL 60402 | 2006-12-12 |
| 1023174406 | Christina M King | Counselor | 6415 Stanley, Berwyn, IL 60402 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700270493 | Jonatan Azpilcueta | Social Worker | 1830 Scoville Ave, Berwyn, IL 60402-1908 | 2015-03-20 |
| 1295080372 | Mirtha Raigoza-ramirez | Social Worker | 3231 Euclid Ave Ste 407, Berwyn, IL 60402-3472 | 2012-07-16 |
| 1598827917 | Cynthia F Holbrook | Social Worker | 6415 Stanley Avenue, Berwyn, IL 60402 | 2006-12-14 |
| 1932208469 | Elizabeth C Monk | Social Worker | 6918 Windsor, Berwyn, IL 60402 | 2006-09-21 |
| 1548369077 | Heather Marie Stewart | Social Worker | 6918 Windsor Ave, Berwyn, IL 60402 | 2006-09-21 |
| 1689773111 | Monica Morris Schwartz | Social Worker | Pillars Fillmore Center 6918 Windsor Ave Berwyn Il 6040, Berwyn, IL 60402 | 2006-09-21 |
| 1043833973 | Briana Kuhl | Social Worker | 6415 Stanley Ave, Berwyn, IL 60402-3130 | 2020-05-27 |
| 1033755889 | Kimberly Patrice Knowles | Social Worker | 6415 Stanley Ave, Berwyn, IL 60402-3130 | 2019-11-26 |
| 1821633090 | Reena Rani Hilton | Social Worker | 6415 Stanley Ave, Berwyn, IL 60402-3130 | 2019-11-12 |
| 1821643479 | Alyson Elizabeth Griedl | Social Worker | 6918 W Windsor Ave, Berwyn, IL 60402-3334 | 2019-08-09 |
| Find all providers in BERWYN | ||||
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| 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.