Provider Demographics
NPI:1265261929
Name:SWALES, ALEXANDRIA JULIA (MSW, LCSW, LICSW)
Entity type:Individual
Prefix:MS
First Name:ALEXANDRIA
Middle Name:JULIA
Last Name:SWALES
Suffix:
Gender:F
Credentials:MSW, LCSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 GALAPAGO ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80223-1324
Mailing Address - Country:US
Mailing Address - Phone:732-768-6199
Mailing Address - Fax:
Practice Address - Street 1:241 GALAPAGO ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80223-1324
Practice Address - Country:US
Practice Address - Phone:732-768-6199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040147461041C0700X
CO.099301191041C0700X
DCDC200019861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical