Provider Demographics
NPI:1679644165
Name:SCHWAN, PATRICIA MAE (MS, LPC-MH, LMFT,)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:MAE
Last Name:SCHWAN
Suffix:
Gender:F
Credentials:MS, LPC-MH, LMFT,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 15TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-7505
Mailing Address - Country:US
Mailing Address - Phone:605-226-1304
Mailing Address - Fax:605-226-3274
Practice Address - Street 1:14 S MAIN ST STE 1E
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-4189
Practice Address - Country:US
Practice Address - Phone:605-225-1010
Practice Address - Fax:605-725-8055
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLMFT 1065106H00000X
SDLPC-MH 2057101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD6575370Medicaid
SD4997373OtherWELLMARK
232008OtherMIDLANDS CHOICE
SD9201555OtherDAKOTA CARE