Provider Demographics
NPI:1578624334
Name:SWETT, MARJORIE B (MSW)
Entity Type:Individual
Prefix:MRS
First Name:MARJORIE
Middle Name:B
Last Name:SWETT
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 1:4963 ELM ST
Mailing Address - Street 2:SUITE 108
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-2940
Mailing Address - Country:US
Mailing Address - Phone:301-718-8075
Mailing Address - Fax:202-966-7587
Practice Address - Street 1:4963 ELM ST
Practice Address - Street 2:SUITE 108
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2940
Practice Address - Country:US
Practice Address - Phone:301-718-8075
Practice Address - Fax:202-966-7587
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3017081041C0700X
MD059991041C0700X
MA1054451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC000Z76S29Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
DCR28705Medicare UPIN