Provider Demographics
NPI:1194210963
Name:SWINEA, DAMON TREMAYNE (LMSW)
Entity Type:Individual
Prefix:MR
First Name:DAMON
Middle Name:TREMAYNE
Last Name:SWINEA
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16-24 UNION ST.
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940
Mailing Address - Country:US
Mailing Address - Phone:845-343-5556
Mailing Address - Fax:845-341-0226
Practice Address - Street 1:16-24 UNION ST.
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940
Practice Address - Country:US
Practice Address - Phone:845-343-5556
Practice Address - Fax:845-341-0226
Is Sole Proprietor?:No
Enumeration Date:2018-06-25
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY102912104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker