Provider Demographics
NPI:1871049007
Name:SWEAN, JESSICA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:
Last Name:SWEAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 MARK LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-7440
Mailing Address - Country:US
Mailing Address - Phone:919-307-7367
Mailing Address - Fax:
Practice Address - Street 1:490 VETERANS PARKWAY
Practice Address - Street 2:STE 100
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-5823
Practice Address - Country:US
Practice Address - Phone:919-307-7367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-28
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0058861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical