Active NPI
Michael Schwan, LCSW
- Clinical Social Worker
- Maynard, MA
National Provider Identifier
1033632096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C8834
- Practice address
- 141 Parker St Ste 306
Maynard, MA 01754-2180 - Phone
- (866) 991-2103
- NPI assigned
- Jul 21, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | M8834 | MS | |
| Clinical Social Worker | 1041C0700X | 44SC06186500 | NJ | |
| Clinical Social Worker | 1041C0700X | 5201C | AL | |
| Clinical Social Worker | 1041C0700X | C8834 | MS | Primary |
Addresses
Primary practice location
141 Parker St Ste 306
Maynard, MA 01754-2180
Mailing address
PO Box 2122
Laurel, MS 39442-2122
Phone (601) 498-5129
Other practice location 1
208 W State St
Trenton, NJ 08608-1007
Phone (866) 991-2103
Other practice location 2
990 Villa St
Mountain View, CA 94041-1236
Phone (888) 479-7031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M8834 | MS | MD | Social Worker |
| 5201C | AL | MD | Clinical Social Worker |
| C8834 | MS | MD | Clinical Social Worker |
| 44SC06186500 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1033632096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2122",
"city": "LAUREL",
"state": "MS",
"postal_code": "394422122",
"telephone_number": "601-498-5129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 PARKER ST STE 306",
"city": "MAYNARD",
"state": "MA",
"postal_code": "017542180",
"telephone_number": "866-991-2103"
}
],
"practiceLocations": [
{
"address_1": "208 W State St",
"address_purpose": "LOCATION",
"city": "Trenton",
"state": "NJ",
"postal_code": "086081007",
"country_code": "US",
"telephone_number": "866-991-2103",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "990 Villa St",
"address_purpose": "LOCATION",
"city": "Mountain View",
"state": "CA",
"postal_code": "940411236",
"country_code": "US",
"telephone_number": "888-479-7031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHWAN",
"first_name": "MICHAEL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-21",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MS",
"license": "M8834",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC06186500",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "5201C",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C8834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maynard, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.