Provider Demographics
NPI:1609172725
Name:SWARTZLANDER, TRACY LYNN (LISW)
Entity Type:Individual
Prefix:
First Name:TRACY
Middle Name:LYNN
Last Name:SWARTZLANDER
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E EUCLID AVE
Mailing Address - Street 2:SUITE 143
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50313-4511
Mailing Address - Country:US
Mailing Address - Phone:515-256-8001
Mailing Address - Fax:
Practice Address - Street 1:100 E EUCLID AVE
Practice Address - Street 2:SUITE 143
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50313-4511
Practice Address - Country:US
Practice Address - Phone:515-256-8001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-07
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0070651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical