Provider Demographics
NPI:1053334581
Name:SWENSON, CINDY L (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CINDY
Middle Name:L
Last Name:SWENSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 66
Mailing Address - Street 2:
Mailing Address - City:HERALD
Mailing Address - State:CA
Mailing Address - Zip Code:95638-0066
Mailing Address - Country:US
Mailing Address - Phone:209-748-5634
Mailing Address - Fax:
Practice Address - Street 1:2445 ALBATROSS WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-2878
Practice Address - Country:US
Practice Address - Phone:916-914-7237
Practice Address - Fax:916-914-7256
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS119861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical