Individual provider Active NPI

Kirsten Schwiesow, LGSW

  • Clinical Social Worker
  • Hyattsville, MD
National Provider Identifier
1215236989
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15855 Issued in MD
Practice address
1835 University Blvd E Ste 220
Hyattsville, MD 20783-4657
Phone
(301) 326-4356
Fax
(301) 326-4361
NPI assigned
Mar 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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 15855 MD Primary

Addresses

Primary practice location

1835 University Blvd E Ste 220
Hyattsville, MD 20783-4657

Mailing address

317 E Diamond Ave Ste C
Gaithersburg, MD 20877-5327
Phone (301) 527-0854

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
15855MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1215236989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 E DIAMOND AVE STE C",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208775327",
            "telephone_number": "301-527-0854",
            "fax_number": "240-243-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 UNIVERSITY BLVD E STE 220",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207834657",
            "telephone_number": "301-326-4356",
            "fax_number": "301-326-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWIESOW",
        "first_name": "KIRSTEN",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.