Provider Demographics
NPI:1508030214
Name:SWANKIN, HARRIET REBECCA (MS LICSW BCD)
Entity Type:Individual
Prefix:MRS
First Name:HARRIET
Middle Name:REBECCA
Last Name:SWANKIN
Suffix:
Gender:F
Credentials:MS LICSW BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1226 31ST ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-3402
Mailing Address - Country:US
Mailing Address - Phone:202-338-6267
Mailing Address - Fax:
Practice Address - Street 1:1226 31ST ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-3402
Practice Address - Country:US
Practice Address - Phone:202-338-6267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3008431041C0700X
MDLCSW-C 020631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical