Organization Active NPI

Swank Therapy LLC

  • Clinical Social Worker
  • Crystal Lake, IL
National Provider Identifier
1336860931
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SWANK THERAPY LLC
Practice address
101 N Virginia St Ste 245
Crystal Lake, IL 60014-3455
Phone
(815) 669-0369
NPI assigned
Sep 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephanie N Swank, LCSW
Title
Owner
Phone
(815) 669-0369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

101 N Virginia St Ste 245
Crystal Lake, IL 60014-3455

Mailing address

101 N Virginia St Ste 245
Crystal Lake, IL 60014-3455

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephanie@swanktherapy.com

National Provider Directory

National Provider Directory

Locations

101 N Virginia St
Ste 245
Crystal Lake, IL 60014
Phone (708) 288-2735

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1336860931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N VIRGINIA ST STE 245",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N VIRGINIA ST STE 245",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143455",
            "telephone_number": "815-669-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWANK THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "SWANK",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-669-0369",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie@swanktherapy.com",
            "affiliation": "N",
            "address_1": "101 N Virginia St Ste 245",
            "city": "Crystal Lake",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600143455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.