Individual provider Active NPI

Teresa Swango, LISW

  • Clinical Social Worker
  • Lima, OH
National Provider Identifier
1073939203
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1302474-SUP Issued in OH
Practice address
2727 Harding Hwy
Lima, OH 45804-3433
Phone
(419) 221-2821
NPI assigned
Mar 12, 2014
Last updated
Feb 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X I.1302474-SUP OH Primary

Addresses

Primary practice location

2727 Harding Hwy
Lima, OH 45804-3433

Mailing address

2727 Harding Hwy
Lima, OH 45804-3433
Phone (419) 221-2821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140529002461 OH Practitioner - Clinical Social Worker 5496978900 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1302474-SUPOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
National Youth Advocate Program, Inc CurrentSince Jun 2, 2021 Accepting new patients
National Youth Advocate Program, Inc CurrentSince Jun 2, 2021 Accepting new patients

Locations

1801 Watermark Dr
Ste 200
Columbus, OH 43215

527 S High St
Columbus, OH 43215
Phone (614) 227-9444

2727 Harding Hwy
Lima, OH 45804
Phone (419) 221-2821

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1073939203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 HARDING HWY",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458043433",
            "telephone_number": "419-221-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 HARDING HWY",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458043433",
            "telephone_number": "419-221-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANGO",
        "first_name": "TERESA",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-12",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1302474-SUP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.