Active NPI
Nikki Schwisow, MSW, LCSW
- Clinical Social Worker
- West Jordan, UT
National Provider Identifier
1104131697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8034933-3501
- Practice address
- 8537 S Redwood Rd Ste C
West Jordan, UT 84088-5713 - Phone
- (385) 449-2200
- NPI assigned
- Aug 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | 8034933-3501 | UT | Primary |
| Clinical Social Worker | 1041C0700X | 105617 | TX | |
| Clinical Social Worker | 1041C0700X | 0904014439 | VA | |
| Clinical Social Worker | 1041C0700X | I.2103013 | OH |
Addresses
Primary practice location
8537 S Redwood Rd Ste C
West Jordan, UT 84088-5713
Mailing address
8537 S Redwood Rd Ste C
West Jordan, UT 84088-5713
Phone (385) 449-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 876000308007 | Medicaid | UT |
Other names 1
- Ms. Nicole Manson
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 |
|---|---|---|---|
| I.2103013 | OH | MD | Clinical Social Worker |
| 105617 | TX | MD | Clinical Social Worker |
| 8034933-3501 | UT | MD | Clinical Social Worker |
| 0904014439 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1104131697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8537 S REDWOOD RD STE C",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840885713",
"telephone_number": "385-449-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8537 S REDWOOD RD STE C",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840885713",
"telephone_number": "385-449-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWISOW",
"first_name": "NIKKI",
"name_prefix": "Ms.",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-10",
"last_updated": "2024-02-02",
"certification_date": "2022-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "8034933-3501",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "105617",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904014439",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.2103013",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "876000308007",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "MANSON",
"prefix": "MS.",
"credential": "MSW, LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.