Active NPI
David A Swain, LICSW
- Clinical Social Worker
- Providence, RI
National Provider Identifier
1457303596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW00390
- Practice address
- 35 S Angell St
Providence, RI 02906-5206 - Phone
- (401) 632-4045
- Fax
- (401) 632-4460
- NPI assigned
- May 17, 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 | ISW00390 | RI | Primary |
Addresses
Primary practice location
35 S Angell St
Providence, RI 02906-5206
Mailing address
35 S Angell St
Providence, RI 02906-5206
Phone (401) 632-4045
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30329-7 | Other | RI | BLUE SHIELD PROVIDER # |
| 002224 | Other | RI | BLUE CHIP PROVIDER # |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW00390 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeworks, Inc | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Providence, RI
- NPI 1366829798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435190400000",
"number": "1457303596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 S ANGELL ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029065206",
"telephone_number": "401-632-4045",
"fax_number": "401-632-4460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 S ANGELL ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029065206",
"telephone_number": "401-632-4045",
"fax_number": "401-632-4460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAIN",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2015-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW00390",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER #",
"identifier": "30329-7",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP PROVIDER #",
"identifier": "002224",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.