Provider Demographics
NPI:1972036036
Name:SWARTZ, ROSEANN AGNES (LBSW)
Entity Type:Individual
Prefix:MS
First Name:ROSEANN
Middle Name:AGNES
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:LBSW
Other - Prefix:
Other - First Name:ROSANN
Other - Middle Name:AGNES
Other - Last Name:GINGERICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:926 BEARD ST
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503-5301
Mailing Address - Country:US
Mailing Address - Phone:614-648-8095
Mailing Address - Fax:
Practice Address - Street 1:420 W 5TH AVE
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-2445
Practice Address - Country:US
Practice Address - Phone:810-496-5546
Practice Address - Fax:810-257-3755
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6802089361104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker