| Swank Therapy Llc | |
|
101 N Virginia St Ste 245 Crystal Lake IL 60014-3455 | |
| (815) 669-0369 | |
| Not Available |
| Full Name | Swank Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 101 N Virginia St Ste 245, Crystal Lake, Illinois |
| Authorized Official Name and Position | Stephanie N Swank (OWNER) |
| Authorized Official Contact | 8156690369 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Swank Therapy Llc 101 N Virginia St Ste 245 Crystal Lake IL 60014-3455 Ph: () - | Swank Therapy Llc 101 N Virginia St Ste 245 Crystal Lake IL 60014-3455 Ph: (815) 669-0369 |
| NPI Number | 1336860931 |
|---|---|
| Provider Enumeration Date | 09/12/2022 |
| Last Update Date | 04/10/2023 |
| Certification Date | 04/10/2023 |
| Medicare PECOS PAC ID | 6901274562 |
|---|---|
| Medicare Enrollment ID | O20221201003043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336860931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Stephanie N Swank |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255882106 PECOS PAC ID: 0840570891 Enrollment ID: I20161208000610 |
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