Active NPI
Kaitlin Swindaman, MSW, LSW
- Social Worker
- Toledo, OH
National Provider Identifier
1063914059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S1502394
- Practice address
- 7140 Port Sylvania Dr
Toledo, OH 43617-1176 - Phone
- (567) 408-7242
- NPI assigned
- Mar 6, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S1502394 | OH | Primary |
Addresses
Primary practice location
7140 Port Sylvania Dr
Toledo, OH 43617-1176
Mailing address
7140 Port Sylvania Dr
Toledo, OH 43617-1176
Phone (567) 408-7242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34-4434924 | Medicaid | OH |
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 |
|---|---|---|---|
| S1502394 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520294400000",
"number": "1063914059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7140 PORT SYLVANIA DR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436171176",
"telephone_number": "567-408-7242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7140 PORT SYLVANIA DR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436171176",
"telephone_number": "567-408-7242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWINDAMAN",
"first_name": "KAITLIN",
"credential": "MSW, LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-06",
"last_updated": "2018-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S1502394",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34-4434924",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.