Individual provider Active NPI

Lynn Marie Swiatkowski, LICSW

  • Clinical Social Worker
  • Anacortes, WA
National Provider Identifier
1265571848
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00004705 Issued in WA
Practice address
1019 21St St
Anacortes, WA 98221-2515
Phone
(360) 299-0965
Fax
(360) 299-4372
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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 LW00004705 WA Primary

Addresses

Primary practice location

1019 21St St
Anacortes, WA 98221-2515

Mailing address

1019 21St St
Anacortes, WA 98221-2515
Phone (360) 299-0965

Other identifiers 2

IdentifierTypeStateIssuer
LW00004705OtherWALICSW
3185SWOtherWAREGENCE BLUE SHEILD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20060314000325 WA Practitioner - Clinical Social Worker 8325055569 Practice locations: Anacortes, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1019 21St St
Anacortes, WA 98221-2515
Phone 36029909652

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW00004705WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical and Neuropsychological Services, Inc PastSince Sep 2, 2012 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1265571848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 21ST ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212515",
            "telephone_number": "360-299-0965",
            "fax_number": "360-299-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 21ST ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212515",
            "telephone_number": "360-299-0965",
            "fax_number": "360-299-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIATKOWSKI",
        "first_name": "LYNN",
        "middle_name": "MARIE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW",
            "identifier": "LW00004705",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHEILD",
            "identifier": "3185SW",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anacortes, WA

Sources for this page

Verify at the official NPI Registry.