Provider Demographics
NPI:1487163382
Name:SWANIGAN, HIROKO (LMSW)
Entity type:Individual
Prefix:
First Name:HIROKO
Middle Name:
Last Name:SWANIGAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:HIROKO
Other - Middle Name:
Other - Last Name:ISHIHARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:105 ASBURY CIR
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-1397
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:105 ASBURY CIR
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-1397
Practice Address - Country:US
Practice Address - Phone:601-264-7079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-22
Last Update Date:2017-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSM8003104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker