Provider Demographics
NPI:1821767583
Name:SWANSON, COURTNEY FARRELL (LCSW)
Entity Type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:FARRELL
Last Name:SWANSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 S C ST
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93033-4560
Mailing Address - Country:US
Mailing Address - Phone:805-385-9420
Mailing Address - Fax:805-385-9401
Practice Address - Street 1:2500 S C ST
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93033-4560
Practice Address - Country:US
Practice Address - Phone:805-385-9420
Practice Address - Fax:805-385-9401
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-07
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1159981041C0700X
CA948601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical