Active NPI
William M Swingly, LCSW-R
- Clinical Social Worker
- Canandaigua, NY
National Provider Identifier
1346352796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 021828
- Practice address
- 3019 County Complex Dr
Canandaigua, NY 14424-9505 - Phone
- (585) 396-4363
- Fax
- (585) 396-4993
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 021828 | NY | Primary |
Addresses
Primary practice location
3019 County Complex Dr
Canandaigua, NY 14424-9505
Mailing address
875 County Road 4
Geneva, NY 14456-9518
Phone (315) 789-2830
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07300021828 | Medicaid | NY | |
| EM | Other | NY | EXCELLUS |
| 310989 | Other | NY | VALUE OPTIONS |
| 103283EU | Other | NY | PREFERRED CARE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1346352796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 COUNTY ROAD 4",
"city": "GENEVA",
"state": "NY",
"postal_code": "144569518",
"telephone_number": "315-789-2830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3019 COUNTY COMPLEX DR",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144249505",
"telephone_number": "585-396-4363",
"fax_number": "585-396-4993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWINGLY",
"first_name": "WILLIAM",
"middle_name": "M",
"credential": "LCSW-R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "021828",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07300021828",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS",
"identifier": "EM",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "310989",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "103283EU",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canandaigua, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.