Provider Demographics
NPI:1730622549
Name:SWOPE, DELLA (MS, NCC, LSATP, LPC)
Entity type:Individual
Prefix:
First Name:DELLA
Middle Name:
Last Name:SWOPE
Suffix:
Gender:F
Credentials:MS, NCC, LSATP, LPC
Other - Prefix:
Other - First Name:DELLA
Other - Middle Name:
Other - Last Name:SWOPE-COLLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, NCC, LPC
Mailing Address - Street 1:21641 RIDGETOP CIR STE 210
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166-6597
Mailing Address - Country:US
Mailing Address - Phone:571-541-1679
Mailing Address - Fax:571-258-3032
Practice Address - Street 1:21641 RIDGETOP CIR
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-4246
Practice Address - Country:US
Practice Address - Phone:571-541-6794
Practice Address - Fax:571-258-3032
Is Sole Proprietor?:No
Enumeration Date:2016-11-28
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007867101Y00000X
WVLPC2178101Y00000X
VA0718000431101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV223694OtherNATIONAL BOARD FOR CERTIFIED COUNSELORS CERTIFICATION
VA0701007867OtherLICENSED PROFESSIONAL COUNSELOR
VA0718000431OtherLICENSED SUBSTANCE ABUSE TREATMENT PRACTITIONER
WVWVBEC-547OtherLICENSED GAMBLING COUNSELOR
WVLPC2178OtherLICENSED PROFESSIONAL COUNSELOR
WV2178OtherAPPROVED LICENSED PROFESSIONAL SUPERVISOR (ALPS)