Individual provider Active NPI

Lisa Swapp, LCSW

  • Clinical Social Worker
  • Sandy, UT
National Provider Identifier
1407254667
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4976890-3501 Issued in UT
Practice address
9710 S 700 E Ste 205
Sandy, UT 84070-3628
Phone
(385) 630-0336
Fax
(385) 243-3033
NPI assigned
Dec 19, 2014
Last updated
May 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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 4976890-3501 UT Primary

Addresses

Primary practice location

9710 S 700 E Ste 205
Sandy, UT 84070-3628

Mailing address

PO Box 782
Riverton, UT 84065-0782
Phone (385) 630-0336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20150122001542 UT Practitioner - Clinical Social Worker 4284958281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9130 S State St
Sandy, UT 84070-2626
Phone (385) 630-0336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Swapp LLC Clinical CurrentSince Mar 10, 2017 Accepting new patients

Locations

9130 S State St
Sandy, UT 84070
Phone (385) 630-0336

9710 S 700 E
Ste 205
Sandy, UT 84070
Phone (385) 630-0336

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": "1418947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1407254667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 782",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840650782",
            "telephone_number": "385-630-0336",
            "fax_number": "385-243-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 S 700 E STE 205",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840703628",
            "telephone_number": "385-630-0336",
            "fax_number": "385-243-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAPP",
        "first_name": "LISA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-19",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "4976890-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

Verify at the official NPI Registry.