Active NPI
Trevor Swoverland, MSW, LICSW
- Clinical Social Worker
- Duluth, MN
National Provider Identifier
1043506116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19440
- Practice address
- 324 W Superior St Ste 620
Duluth, MN 55802-1723 - Phone
- (218) 606-1797
- Fax
- (651) 925-0039
- NPI assigned
- Jun 27, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 19440 | MN | Primary |
Addresses
Primary practice location
324 W Superior St Ste 620
Duluth, MN 55802-1723
Mailing address
324 W Superior St Ste 620
Duluth, MN 55802-1723
Phone (218) 606-1797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 28, 2024 through Feb 29, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633392000000",
"number": "1043506116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 W SUPERIOR ST STE 620",
"city": "DULUTH",
"state": "MN",
"postal_code": "558021723",
"telephone_number": "218-606-1797",
"fax_number": "651-925-0039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 W SUPERIOR ST STE 620",
"city": "DULUTH",
"state": "MN",
"postal_code": "558021723",
"telephone_number": "218-606-1797",
"fax_number": "651-925-0039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWOVERLAND",
"first_name": "TREVOR",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-27",
"last_updated": "2021-10-05",
"certification_date": "2021-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "19440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.