Provider Demographics
NPI:1972590990
Name:SWEARINGEN, VALERIE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:
Last Name:SWEARINGEN
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:PO BOX 20097
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71903-0097
Mailing Address - Country:US
Mailing Address - Phone:501-623-8828
Mailing Address - Fax:501-760-9002
Practice Address - Street 1:1401 MALVERN AVE STE 265
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-6377
Practice Address - Country:US
Practice Address - Phone:501-623-8989
Practice Address - Fax:501-609-0025
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1149-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5T116OtherBCBS PROVIDER NUMBER
AR5F073OtherBCBS CLINIC NUMBER
AR1149-COtherSTATE LICNSE NUMBER
137254OtherVALUE OPTIONS MHS #
AR5T116Medicare ID - Type UnspecifiedPROVIDER NUMBER
AR5F073Medicare ID - Type UnspecifiedGROUP PROVIDER NUMBER