| Vickie L Swindling Lcsw | |
|
3014 Forestbrook Dr N Lakeland FL 33811-1610 | |
| (775) 764-7450 | |
| Not Available |
| Full Name | Vickie L Swindling Lcsw |
|---|---|
| Speciality | Counselor |
| Location | 3014 Forestbrook Dr N, Lakeland, Florida |
| Authorized Official Name and Position | Vickie Swindling (OWNER) |
| Authorized Official Contact | 7757647450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vickie L Swindling Lcsw 3014 Forestbrook Dr N Lakeland FL 33811-1610 Ph: (775) 764-7450 | Vickie L Swindling Lcsw 3014 Forestbrook Dr N Lakeland FL 33811-1610 Ph: (775) 764-7450 |
| NPI Number | 1720719826 |
|---|---|
| Provider Enumeration Date | 06/20/2022 |
| Last Update Date | 08/12/2022 |
| Certification Date | 08/12/2022 |
| Medicare PECOS PAC ID | 1658754585 |
|---|---|
| Medicare Enrollment ID | O20220810001427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720719826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Vickie Lynn Swindling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851640593 PECOS PAC ID: 3173889227 Enrollment ID: I20220812001822 |
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