Provider Demographics
NPI:1003785502
Name:SWAN, EMILY CONNOR (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:CONNOR
Last Name:SWAN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:CONNOR
Other - Middle Name:
Other - Last Name:SWAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:468 HERMIT ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-3638
Mailing Address - Country:US
Mailing Address - Phone:267-315-1270
Mailing Address - Fax:
Practice Address - Street 1:468 HERMIT ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19128-3638
Practice Address - Country:US
Practice Address - Phone:267-315-1270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-03
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0266911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical