MS. MARY CATHERINE SWANSON (CCC-SLP) – Speech-Language Pathologist, NPI 1679584106

MS. MARY CATHERINE SWANSON (CCC-SLP) is a healthcare provider. based in Orange park, Florida. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials CCC-SLP. They hold a License No. AY53 (FL). The NPI Number for MS. MARY CATHERINE SWANSON (CCC-SLP) is 1679584106

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
MS. MARY CATHERINE SWANSON (CCC-SLP)
NPI
1679584106
Phone
(904) 264-2636
Address
784 BLANDING BLVD STE 108
Enumeration Date
10 August 2006
Last Update Date
16 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9042642636
Graduation Year
1985 (41 years ago)
PAC ID
0941711592
Professional Enrollment ID
I20250619001059
Address ID
FL320657724OR784XXBLVD303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

570 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in FL

Provider Addresses for MS. MARY CATHERINE SWANSON (CCC-SLP)

  • 784 BLANDING BLVD STE 108

    ORANGE PARK, FL 320657724

    Phone: (904) 264-2636

    Fax: (904) 517-1621

    Type: Mailing

  • 191, Mill Street, Rockport, Knox County, Maine, 04856, United States

    PROVIDER ENROLLMENT DEPT

    ROCKLAND, DE 197320191

    Phone: (302) 651-6212

    Fax: (302) 651-4945

    Type: Mailing

  • Nemours Children's Specialty Care, 807, Childrens Way, Jacksonville, Duval County, Florida, 32207, United States

    JACKSONVILLE, FL 322078426

    Phone: (904) 390-3600

    Fax: (904) 390-3502

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250619001059IQualified Speech Language PathologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32065)

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Reviews

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Frequently asked questions

What is MS. MARY CATHERINE SWANSON (CCC-SLP)'s NPI number?
MS. MARY CATHERINE SWANSON (CCC-SLP)'s NPI is 1679584106 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MS. MARY CATHERINE SWANSON (CCC-SLP)?
For scheduling context, MS. MARY CATHERINE SWANSON (CCC-SLP) is shown as active in the registry.
What expertise is attributed to MS. MARY CATHERINE SWANSON (CCC-SLP)?
MS. MARY CATHERINE SWANSON (CCC-SLP)'s specialty line reads Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What locale is associated with MS. MARY CATHERINE SWANSON (CCC-SLP)?
Directory geography for MS. MARY CATHERINE SWANSON (CCC-SLP) centers on Orange Park, Florida.
When was this NPI issued?
Enumeration for MS. MARY CATHERINE SWANSON (CCC-SLP) is noted as August 10, 2006 where the registry provides it.

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