Individual provider Active NPI

Cory Ann Swann, LCSW

  • Clinical Social Worker
  • Greenwood, IN
National Provider Identifier
1255942843
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34008784A Issued in IN
Practice address
1130 Londonerry LN
Greenwood, IN 46142-1632
Phone
(812) 568-5267
NPI assigned
Aug 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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 34008784A IN Primary

Addresses

Primary practice location

1130 Londonerry LN
Greenwood, IN 46142-1632

Mailing address

1130 Londonerry LN
Greenwood, IN 46142-1632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220614001712 IN Practitioner - Clinical Social Worker 6507245065 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34008784AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Peace Counseling, LLC CurrentSince Aug 1, 2020 Accepting new patients
Midwest Behavioral Health LLC CurrentSince Aug 7, 2022 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients

Locations

7300 E Indiana St
Ste 103
Evansville, IN 47715
Phone (812) 401-8008

10967 Allisonville Rd
Ste 240
Fishers, IN 46038
Phone (317) 436-1222

Interoperability endpoints

  • Direct secure messaging: corybuchanan@tdh.allscriptsdirect.net

Organizations & group practices 3

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": "1597536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1255942843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 LONDONERRY LN",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 LONDONERRY LN",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421632",
            "telephone_number": "812-568-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANN",
        "first_name": "CORY",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-16",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008784A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.