Active NPI
Bonnie Swicegood, LCSW
- Social Worker
- Louisville, KY
National Provider Identifier
1114134673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1069
- Practice address
- 8013 New Lagrange Rd
Louisville, KY 40222-4700 - Phone
- (502) 817-8675
- Fax
- (502) 429-6562
- NPI assigned
- May 16, 2007
- 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 | 1069 | KY | Primary |
Addresses
Primary practice location
8013 New Lagrange Rd
Louisville, KY 40222-4700
Mailing address
8013 New Lagrange Rd
Louisville, KY 40222-4700
Phone (502) 817-8675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000522137 | Other | KY | ANTHEM |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210723200000",
"number": "1114134673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8013 NEW LAGRANGE RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402224700",
"telephone_number": "502-817-8675",
"fax_number": "502-429-6562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8013 NEW LAGRANGE RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402224700",
"telephone_number": "502-817-8675",
"fax_number": "502-429-6562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWICEGOOD",
"first_name": "BONNIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2008-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KY",
"license": "1069",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000522137",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.