Provider Demographics
NPI:1568670081
Name:SWIFT, JAMES (LMSW)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:SWIFT
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 1:5467 UPPER MOUNTAIN ROAD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-1895
Mailing Address - Country:US
Mailing Address - Phone:716-439-7410
Mailing Address - Fax:716-439-7418
Practice Address - Street 1:5467 UPPER MOUNTAIN ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-1895
Practice Address - Country:US
Practice Address - Phone:716-439-7410
Practice Address - Fax:716-439-7418
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072902101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor