Individual provider Active NPI

Jessica Swaim

  • Clinical Social Worker
  • Gastonia, NC
National Provider Identifier
1578101580
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P018426 Issued in NC
Practice address
609 S New Hope Rd Ste 102
Gastonia, NC 28054-4825
Phone
(704) 208-1865
Fax
(704) 208-1865
NPI assigned
Dec 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 13015 SC
Clinical Social Worker 1041C0700X P018426 NC Primary

Addresses

Primary practice location

609 S New Hope Rd Ste 102
Gastonia, NC 28054-4825

Mailing address

4050 Armstrong Farm Dr
Belmont, NC 28012-9668
Phone (919) 604-1288

Other practice location 1

2100 Charlie Hall Blvd
Charleston, SC 29414-5832
Phone (843) 852-4100

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

LicenseStateTypeSpecialty
13015SCMDSocial Worker
P018426NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Counseling and Wellness LLC CurrentSince Dec 18, 2022 Accepting new patients

Locations

609 S New Hope Rd
Ste 102
Gastonia, NC 28054
Phone (704) 208-1865

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.

NPI Registry JSON

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1578101580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 ARMSTRONG FARM DR",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280129668",
            "telephone_number": "919-604-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 S NEW HOPE RD STE 102",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544825",
            "telephone_number": "704-208-1865",
            "fax_number": "704-208-1865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Charlie Hall Blvd",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294145832",
            "country_code": "US",
            "telephone_number": "843-852-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWAIM",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-20",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "13015",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P018426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.