Active NPI
Cornelia H. Swayze, LCSW, BCD
- Clinical Social Worker
- Diamondhead, MS
National Provider Identifier
1356445944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C4648
- Practice address
- 4387 Leisure Time Drive
Diamondhead, MS 39525 - Phone
- (228) 363-2211
- Fax
- (228) 255-6494
- NPI assigned
- Sep 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | C4648 | MS | Primary |
Addresses
Primary practice location
4387 Leisure Time Drive
Diamondhead, MS 39525
Mailing address
7619 Fairway Drive
Diamondhead, MS 39525-3436
Phone (228) 363-2211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
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)
4423 Leisure Time Dr
Unit C
Diamondhead, MS 39525-3261
Phone (228) 363-2211
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4648 | MS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornelia Swayze, LCSW, LLC | Current | Accepting new patients |
Locations
4423 Leisure Time Dr
Diamondhead, MS 39525
Phone (228) 216-0130
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 and National Provider Directory roles.
-
- Social Worker
- Diamondhead, MS
- NPI 1235449273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356445944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7619 FAIRWAY DRIVE",
"city": "DIAMONDHEAD",
"state": "MS",
"postal_code": "395253436",
"telephone_number": "228-363-2211",
"fax_number": "228-255-6494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4387 LEISURE TIME DRIVE",
"city": "DIAMONDHEAD",
"state": "MS",
"postal_code": "39525",
"telephone_number": "228-363-2211",
"fax_number": "228-255-6494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAYZE",
"first_name": "CORNELIA",
"middle_name": "H.",
"name_prefix": "Mrs.",
"credential": "LCSW, BCD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C4648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Diamondhead, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.