Provider Demographics
NPI:1588823223
Name:MACSWEEN, MURDOCK JOSEPH (MSW)
Entity type:Individual
Prefix:MR
First Name:MURDOCK
Middle Name:JOSEPH
Last Name:MACSWEEN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5040 CEDAR SPRINGS DR
Mailing Address - Street 2:# 202
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-3349
Mailing Address - Country:US
Mailing Address - Phone:239-405-1562
Mailing Address - Fax:239-596-6999
Practice Address - Street 1:5040 CEDAR SPRINGS DR
Practice Address - Street 2:# 202
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-3349
Practice Address - Country:US
Practice Address - Phone:239-405-1562
Practice Address - Fax:239-596-6999
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-07
Last Update Date:2008-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL674758296171M00000X
FL674758298171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL674758298Medicaid
FL674758296Medicaid