Individual
KELLY SWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
144 KNIGHT LN APT 307, WILLISTON, VT 05495-9315
(203) 988-4429
Mailing address
144 KNIGHT LN APT 307, WILLISTON, VT 05495-9315
(203) 988-4429
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000023532
BMC
MA
01
—
042611055
TAX ID
MA
01
—
1004745
NHP
MA
05
—
13003287
—
MA
01
—
1303287
MBHP
MA
01
—
99618201
NETWORK HEALTH
MA
01
—
M18633
BCBS
MA
Enumeration date
09/12/2016
Last updated
07/29/2024
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