Provider Demographics
NPI:1174810709
Name:SWAIN, MELANIE ANNE (LCSW, MED, CST)
Entity type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:ANNE
Last Name:SWAIN
Suffix:
Gender:F
Credentials:LCSW, MED, CST
Other - Prefix:MRS
Other - First Name:MELANIE
Other - Middle Name:
Other - Last Name:SWAIN-KNAPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, MED, CST
Mailing Address - Street 1:18 OLD MILL LN
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18966-2845
Mailing Address - Country:US
Mailing Address - Phone:609-774-3368
Mailing Address - Fax:
Practice Address - Street 1:509 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-2170
Practice Address - Country:US
Practice Address - Phone:267-399-3759
Practice Address - Fax:267-843-9766
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-04
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
MALCSW 2172501041C0700X
NJ44SL 056692001041C0700X
MALICSW 1177641041C0700X
PACW0203541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical