Provider Demographics
NPI:1184946014
Name:SWANSON, CLAUDIA MARINO (LICSW)
Entity type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:MARINO
Last Name:SWANSON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:MARINO
Other - Last Name:LIMBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2722 EASTLAKE AVE E
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102
Mailing Address - Country:US
Mailing Address - Phone:845-853-2474
Mailing Address - Fax:
Practice Address - Street 1:2722 EASTLAKE AVE E
Practice Address - Street 2:SUITE 300
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102
Practice Address - Country:US
Practice Address - Phone:845-853-2474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-19
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW606138571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical