Individual
MRS. DAINETT SWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW #53011
Contact information
Practice address
5542 WALZEM RD, WINDCREST, TX 78218-2103
(210) 637-2450
(210) 590-1380
Mailing address
3750 COMMERCIAL AVE, SAN ANTONIO, TX 78221-3117
(210) 334-3700
(210) 922-0162
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
53011
TX
1041C0700X
Clinical Social Worker
Primary
LCSW #27352
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010155033
BLUE SHIELD
ID
05
—
002648300
—
ID
01
—
7644813
AETNA
ID
01
—
L5906
BLUE CROSS
ID
Enumeration date
06/10/2006
Last updated
03/04/2014
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