Individual provider Active NPI

Staci Anne Swenson, LISW-S

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1457638249
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0009204-SUPV Issued in OH
Practice address
16 West Long
Columbus, OH 43215-2586
Phone
(614) 225-0990
NPI assigned
Nov 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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 I.0009204-SUPV OH Primary

Addresses

Primary practice location

16 West Long
Columbus, OH 43215-2586

Mailing address

PO Box 1809
Columbus, OH 43216-1806
Phone (614) 225-0990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120919000660 OH Practitioner - Clinical Social Worker 5799946208 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0009204-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Neighborhood Health Center Inc CurrentSince Apr 1, 2015 Accepting new patients
Columbus Neighborhood Health Center Inc Current Accepting new patients
Columbus Neighborhood Health Center, Inc. Current Accepting new patients
Columbus Neighborhood Health Center Inc Current Accepting new patients
Columbus Neighborhood Health Center Inc CurrentSince Apr 1, 2015 Accepting new patients
Columbus Neighborhood Health Center Inc Current Accepting new patients
Columbus Neighborhood Health Center, Inc. Current Accepting new patients

Locations

600 N Pickaway St
Ste 300
Circleville, OH 43113
Phone (740) 207-4202

1500 E 17th Ave
Columbus, OH 43219
Phone (614) 645-2700

1791 Alum Creek Dr
Ste 100
Columbus, OH 43207
Phone (614) 526-5420

2300 W Broad St
Columbus, OH 43204
Phone (614) 645-2300

3433 Agler Rd
Ste 2800
Columbus, OH 43219
Phone (614) 645-1600

4661 Sawmill Rd
Ste 101
Columbus, OH 43220
Phone (614) 526-3285

1905 Parsons Ave
Columbus, OH 43207
Phone (614) 586-4159

1180 E Main St
Columbus, OH 43205
Phone (614) 253-0861

L3318
Columbus, OH 43260

240 Parsons Ave
Fl 2
Columbus, OH 43215
Phone (614) 645-7487

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1457638249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1809",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432161806",
            "telephone_number": "614-225-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WEST LONG",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432152586",
            "telephone_number": "614-225-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWENSON",
        "first_name": "STACI",
        "middle_name": "ANNE",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0009204-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.