Swick Clinical Services Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SWICK CLINICAL SERVICES INC

Practice address

5 NW Franklin Ave
Bend, OR 97703-2905

Phone

(541) 241-6123

NPI assigned

Apr 6, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Peter Charles Swick, LCSW

Title

Therapist/Owner

Phone

(458) 600-6101

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1598344590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7964",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977087964",
            "telephone_number": "541-241-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 NW FRANKLIN AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032905",
            "telephone_number": "541-241-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWICK CLINICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "SWICK",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "458-600-6101",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBLSW LICENSURE",
            "identifier": "L8208",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHACBO CADC",
            "identifier": "19-10-29",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982943247",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pete@swick.info",
            "affiliation": "N",
            "endpointDescription": "G Suite email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5 NW Franklin Ave",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977032905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kasey Ann Swanstrom
• Michael J Sweeney
• David A Swendseid, B.A.
• Mestowete Swenson
• Eric B Swetland, MD
• Leda Swick
• Peter Charles Swick, LCSW
• Jon Norman Swift Jr., D.O.
• Patrick David Swihart, OD
• Fawn Sybrant, Q.M.H.A.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bend, OR
• Providers in Bend, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.