Provider Demographics
NPI:1942712427
Name:SWARTZ, DAWN (LSW, LPPC-S, LICDC)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:LSW, LPPC-S, LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1075
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA STATION
Mailing Address - State:OH
Mailing Address - Zip Code:44028-1075
Mailing Address - Country:US
Mailing Address - Phone:440-529-9419
Mailing Address - Fax:440-588-8764
Practice Address - Street 1:35895 ROYALTON RD
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:OH
Practice Address - Zip Code:44044-9587
Practice Address - Country:US
Practice Address - Phone:440-529-9419
Practice Address - Fax:440-588-8764
Is Sole Proprietor?:No
Enumeration Date:2017-10-24
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH161615101YA0400X
OHE.1700421101YM0800X, 101YP2500X
OHS.0009823104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0257153Medicaid