Provider Demographics
NPI:1124663794
Name:SWANSTROM, DEBORAH ANN (LCSW-C)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ANN
Last Name:SWANSTROM
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13313 RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3617
Mailing Address - Country:US
Mailing Address - Phone:301-938-2450
Mailing Address - Fax:
Practice Address - Street 1:20410 OBSERVATION DR STE 212
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-4068
Practice Address - Country:US
Practice Address - Phone:240-296-5929
Practice Address - Fax:301-263-7942
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-07
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD253051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical