Individual provider Active NPI

Lonnie Swanagan, LCSW

  • Clinical Social Worker
  • Pensacola, FL
National Provider Identifier
1356675599
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9413 Issued in FL
Practice address
1508 W la Rua St
Pensacola, FL 32501-3633
Phone
(850) 529-6264
Fax
(850) 696-2347
NPI assigned
Sep 21, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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 SW9413 FL Primary

Addresses

Primary practice location

1508 W la Rua St
Pensacola, FL 32501-3633

Mailing address

1508 W la Rua St
Pensacola, FL 32501-3633
Phone (850) 529-6264

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1356675599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 W LA RUA ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325013633",
            "telephone_number": "850-529-6264",
            "fax_number": "850-696-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 W LA RUA ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325013633",
            "telephone_number": "850-529-6264",
            "fax_number": "850-696-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANAGAN",
        "first_name": "LONNIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-21",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.