Provider Demographics
NPI:1922109131
Name:SWEARINGEN, FLORA LOU (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:FLORA
Middle Name:LOU
Last Name:SWEARINGEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:FLORA
Other - Middle Name:LOU
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:400 E RANDOLPH ST
Mailing Address - Street 2:SUITE 2209
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-5035
Mailing Address - Country:US
Mailing Address - Phone:312-565-0825
Mailing Address - Fax:312-565-0825
Practice Address - Street 1:151 N MICHIGAN AVE
Practice Address - Street 2:SUITE 629
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-5035
Practice Address - Country:US
Practice Address - Phone:312-729-5157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker