Provider Demographics
NPI:1659923845
Name:SWIERK, ALYSSA LYNN (MSW)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:LYNN
Last Name:SWIERK
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 1:522 SOUTH 4TH STREET
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:NY
Mailing Address - Zip Code:13069
Mailing Address - Country:US
Mailing Address - Phone:315-598-7400
Mailing Address - Fax:315-598-7505
Practice Address - Street 1:522 SOUTH 4TH STREET OSWEGO HEALTH FULTON OFFICE
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:NY
Practice Address - Zip Code:10369
Practice Address - Country:US
Practice Address - Phone:315-598-7400
Practice Address - Fax:315-598-7505
Is Sole Proprietor?:No
Enumeration Date:2019-07-09
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY108450-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker