Provider Demographics
NPI:1053759076
Name:SWOPE, CHANDLER (MSW)
Entity type:Individual
Prefix:
First Name:CHANDLER
Middle Name:
Last Name:SWOPE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3506 NEW HAMPSHIRE AVE NW
Mailing Address - Street 2:APT 3
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-1593
Mailing Address - Country:US
Mailing Address - Phone:202-213-2845
Mailing Address - Fax:
Practice Address - Street 1:1436 U ST NW
Practice Address - Street 2:SUITE 303
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-3997
Practice Address - Country:US
Practice Address - Phone:202-540-1045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-12
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500791481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical