Provider Demographics
NPI:1578566642
Name:SWINGLE, STANLEY JAMES II (LCSW)
Entity Type:Individual
Prefix:
First Name:STANLEY
Middle Name:JAMES
Last Name:SWINGLE
Suffix:II
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 WALLACE BLVD
Mailing Address - Street 2:BLDG 501
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-1705
Mailing Address - Country:US
Mailing Address - Phone:806-349-5621
Mailing Address - Fax:
Practice Address - Street 1:901 WALLACE BLVD
Practice Address - Street 2:BLDG 501
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1705
Practice Address - Country:US
Practice Address - Phone:806-349-5621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS024011041C0700X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX86288QOtherBCBS ID WITH GROUP
TX8399WMedicare ID - Type UnspecifiedMEDICARE ID WITH GROUP