Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Mark T Swanson

Individual provider Social Worker · NPI 1477154052

Mr. Mark T Swanson is a Clinical Social Worker in Ventura, California. Qualified in 2020, 6 years ago. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

1500 Palma Dr Fl 2
Ventura, CA 93003-6451
Phone: (626) 344-9409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 116015 (CA)
Social Worker Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1477154052
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 2, 2020
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024
Mailing address1001 Fremont Ave # 1382, South Pasadena, CA 91031-7001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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