Provider Demographics
NPI:1528029642
Name:SWAGERTY, DEBRA A (LMSW)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:A
Last Name:SWAGERTY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 SW 29TH AVE
Mailing Address - Street 2:#215
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-2330
Mailing Address - Country:US
Mailing Address - Phone:785-230-4759
Mailing Address - Fax:
Practice Address - Street 1:3601 SW 29TH
Practice Address - Street 2:#215
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-2330
Practice Address - Country:US
Practice Address - Phone:785-230-4759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3539104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker