Provider Demographics
NPI:1780283523
Name:SWANSON, CROSBY (LPC)
Entity type:Individual
Prefix:
First Name:CROSBY
Middle Name:
Last Name:SWANSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CROSBY
Other - Middle Name:
Other - Last Name:SKIPPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2000 S SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-2727
Mailing Address - Country:US
Mailing Address - Phone:605-353-4923
Mailing Address - Fax:
Practice Address - Street 1:505 W 9TH ST STE 203
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57104-3667
Practice Address - Country:US
Practice Address - Phone:605-550-2655
Practice Address - Fax:605-305-3192
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-22
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD20562101YP2500X
SDLPC20562101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional