Individual provider Active NPI

Benjamin Willson Swain, LICSW, ICADC,CADC II

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1093826299
Registry record updated Oct 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50078081 Issued in DC
Practice address
600 W St NE
Washington, DC 20002-1241
Phone
(301) 613-2750
Fax
(301) 386-3521
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 10191-502 DC
Clinical Social Worker 1041C0700X LC50078081 DC Primary
Clinical Social Worker 1041C0700X 13207 MD

Addresses

Primary practice location

600 W St NE
Washington, DC 20002-1241

Mailing address

9639 Oxbridge Way
Bowie, MD 20721-3035
Phone (301) 613-2750

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
10191-502DCMDAddiction (Substance Use Disorder) Counselor
LC50078081DCMDClinical Social Worker
13207MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health and Substance Abuse Network, Inc. Clinical Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256342400000",
    "number": "1093826299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9639 OXBRIDGE WAY",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213035",
            "telephone_number": "301-613-2750",
            "fax_number": "301-386-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021241",
            "telephone_number": "301-613-2750",
            "fax_number": "301-386-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAIN",
        "first_name": "BENJAMIN",
        "middle_name": "WILLSON",
        "name_prefix": "Mr.",
        "credential": "LICSW, ICADC,CADC II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DC",
            "license": "10191-502",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078081",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13207",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2009; 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.