Individual
MR. GERALD C SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4308 CARLISLE BLVD NE STE 210, ALBUQUERQUE, NM 87107-4856
(505) 247-1921
(505) 247-1020
Mailing address
4308 CARLISLE BLVD NE STE 210, ALBUQUERQUE, NM 87107-4856
(505) 247-1921
(505) 247-1020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-0195
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000Z2266
—
NM
01
—
125990
VALUE OPTIONS
—
01
—
1936916871
CNN 1ST HEALTH
—
01
—
198950
MHN
—
01
—
2014445
CIGNA
—
01
—
32243
LOVELACE HP
—
01
—
411232
ONE HEALTH PLAN
—
01
—
518055295
PACIFICARE
—
01
—
94167
UNITED HEALTH UBH
—
01
—
NM00R60P
BCBS
NM
05
—
Z2266
—
NM
Enumeration date
09/01/2006
Last updated
09/30/2022
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