Provider Demographics
NPI:1689805376
Name:SWIMMER, BARBARA SCOTT (LISW-S, LCDCIII, SAP)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:SCOTT
Last Name:SWIMMER
Suffix:
Gender:F
Credentials:LISW-S, LCDCIII, SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14650 DETROIT AVENUE
Mailing Address - Street 2:SUITE LL40
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107
Mailing Address - Country:US
Mailing Address - Phone:216-226-2721
Mailing Address - Fax:216-226-2731
Practice Address - Street 1:14650 DETROIT AVENUE
Practice Address - Street 2:SUITE LL40
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107
Practice Address - Country:US
Practice Address - Phone:216-226-2721
Practice Address - Fax:216-226-2731
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-29
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH071029101YA0400X
OHI. 00310961041C0700X
OHI00310961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)