Provider Demographics
NPI:1366575250
Name:SWENSON, EMILY J (LICSW)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:J
Last Name:SWENSON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MS
Other - First Name:EMILY
Other - Middle Name:J
Other - Last Name:HRANICKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 5074
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57117-5074
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1720 UNIVERSITY DR S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103
Practice Address - Country:US
Practice Address - Phone:701-461-5307
Practice Address - Fax:701-461-5312
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND36031041C0700X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered171M00000XOther Service ProvidersCase Manager/Care Coordinator