Provider Demographics
NPI:1871677674
Name:SWERSKY, LOIS ANN (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:LOIS
Middle Name:ANN
Last Name:SWERSKY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MR
Other - First Name:LOIS
Other - Middle Name:ANN
Other - Last Name:SWERSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:5500 N SUNLAND DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-4020
Mailing Address - Country:US
Mailing Address - Phone:757-420-1873
Mailing Address - Fax:757-518-9713
Practice Address - Street 1:289 INDEPENDENCE BLVD
Practice Address - Street 2:SUITE 245
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-5493
Practice Address - Country:US
Practice Address - Phone:757-437-6200
Practice Address - Fax:757-518-9713
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040017911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA270015OtherANTHEM PROVIDER
VA088079Other0PTIMA