Active NPI
Kathie Maelene Swan, MSW
- Social Worker
- Midland, MI
National Provider Identifier
1639269483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801058722
- Practice address
- 220 W Ellsworth St
Midland, MI 48640-5180 - Phone
- (989) 837-0708
- NPI assigned
- Oct 13, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801058722 | MI | Primary |
Addresses
Primary practice location
220 W Ellsworth St
Midland, MI 48640-5180
Mailing address
1213 W Youngs Rd
Gladwin, MI 48624-8002
Phone (989) 426-6891
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801058722 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Mental Health for Central Michigan | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Mt Pleasant, MI
- NPI 1881622892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639269483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 W YOUNGS RD",
"city": "GLADWIN",
"state": "MI",
"postal_code": "486248002",
"telephone_number": "989-426-6891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 W ELLSWORTH ST",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486405180",
"telephone_number": "989-837-0708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAN",
"first_name": "KATHIE",
"middle_name": "MAELENE",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801058722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.