Individual provider Active NPI

Rachelle Louise Swackhamer

  • Clinical Social Worker
  • Berrien Springs, MI
National Provider Identifier
1093696130
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801086919 Issued in MI
Practice address
8797 N Lemon Creek Rd
Berrien Springs, MI 49103-9564
Phone
(269) 277-3894
NPI assigned
Sep 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801086919 MI Primary

Addresses

Primary practice location

8797 N Lemon Creek Rd
Berrien Springs, MI 49103-9564

Mailing address

8797 N Lemon Creek Rd
Berrien Springs, MI 49103-9564
Phone (269) 277-3894

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

LicenseStateTypeSpecialty
6801086919MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1093696130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8797 N LEMON CREEK RD",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491039564",
            "telephone_number": "269-277-3894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8797 N LEMON CREEK RD",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491039564",
            "telephone_number": "269-277-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWACKHAMER",
        "first_name": "RACHELLE",
        "middle_name": "LOUISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-10-24",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berrien Springs, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.