Provider Demographics
NPI:1811090731
Name:SWINTEK, NANCY J (LCSW)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:J
Last Name:SWINTEK
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 1:10506 W CAMEO DR
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-2225
Mailing Address - Country:US
Mailing Address - Phone:623-974-3800
Mailing Address - Fax:
Practice Address - Street 1:10147 W GRAND AVE
Practice Address - Street 2:VA NORTH WEST HEALTH CARE CLINIC
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351
Practice Address - Country:US
Practice Address - Phone:602-222-2630
Practice Address - Fax:602-222-2637
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW35571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical