Provider Demographics
NPI:1932943172
Name:SWORD, MADELINE MIELA-MCINNES (LMSW-C, SSW)
Entity type:Individual
Prefix:
First Name:MADELINE
Middle Name:MIELA-MCINNES
Last Name:SWORD
Suffix:
Gender:F
Credentials:LMSW-C, SSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1213 N ERIE ST
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-3548
Mailing Address - Country:US
Mailing Address - Phone:810-267-1505
Mailing Address - Fax:
Practice Address - Street 1:1213 N ERIE ST
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-3548
Practice Address - Country:US
Practice Address - Phone:810-267-1505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-22
Last Update Date:2024-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011185151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical