Provider Demographics
NPI:1417095589
Name:SWENSON, STACY A (MSW)
Entity Type:Individual
Prefix:
First Name:STACY
Middle Name:A
Last Name:SWENSON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 E GLENOLDEN AVE
Mailing Address - Street 2:2B
Mailing Address - City:GLENOLDEN
Mailing Address - State:PA
Mailing Address - Zip Code:19036-2106
Mailing Address - Country:US
Mailing Address - Phone:412-477-0037
Mailing Address - Fax:
Practice Address - Street 1:27 E GLENOLDEN AVE
Practice Address - Street 2:2B
Practice Address - City:GLENOLDEN
Practice Address - State:PA
Practice Address - Zip Code:19036-2106
Practice Address - Country:US
Practice Address - Phone:412-477-0037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker