Provider Demographics
NPI:1679663306
Name:SWHARTZ, DAVIDA JACQUELINE (MSW)
Entity type:Individual
Prefix:MISS
First Name:DAVIDA
Middle Name:JACQUELINE
Last Name:SWHARTZ
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 1:7955 SEAWALL CIR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-5464
Mailing Address - Country:US
Mailing Address - Phone:714-418-0828
Mailing Address - Fax:
Practice Address - Street 1:16490 HARBOR BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-1375
Practice Address - Country:US
Practice Address - Phone:714-418-0828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17776104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker