Provider Demographics
NPI:1639241847
Name:SWOPE, DONNA STEVENSON (LCSW-C)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:STEVENSON
Last Name:SWOPE
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 BROADWAY
Mailing Address - Street 2:1 FL W
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-4032
Mailing Address - Country:US
Mailing Address - Phone:240-527-9896
Mailing Address - Fax:
Practice Address - Street 1:22 BROADWAY
Practice Address - Street 2:1 FL W
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-4032
Practice Address - Country:US
Practice Address - Phone:240-527-9896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD028071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD003592OtherVALUE OPTIONS MARYLAND
MD550028911OtherUNITED BEHAVIORAL HEALTH
MD900013946001OtherAPS HEALTHCARE BETHESDA INC.
DCK8700-001OtherFEDERAL BLUE CROSS BLUE SHIELD
CA000035689OtherINTEGRATED BEHAVIORAL HEALTH
MD00142169703OtherMARYLAND BLUE CROSS BLUE SHIELD
MD260819000OtherMAGELLAN HEALTHCARE
MDQ181TR-001OtherCAREFIRST BLUECROSS/BLUE SHIELD AND CAREFIRST BLUE CHOICE, INC.