Active NPI
Lucille Susan Swalve, LISW
- Clinical Social Worker
- Sioux City, IA
National Provider Identifier
1649235367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 309
- Practice address
- 625 Court St
Sioux City, IA 51101-1919 - Phone
- (712) 252-3871
- NPI assigned
- Apr 18, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 00309 | IA | |
| Clinical Social Worker | 1041C0700X | 309 | IA | Primary |
Addresses
Primary practice location
625 Court St
Sioux City, IA 51101-1919
Mailing address
PO Box 1917
Sioux City, IA 51102-1917
Phone (712) 252-3871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050421000466 | IA | Practitioner - Clinical Social Worker | 0547208472 |
Reassigns benefits to 1 organization Practice locations: Hinton, IA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
625 Court St
Sioux City, IA 51101-1919
Phone (712) 252-3871
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00309 | IA | MD | Occupational Therapy Assistant |
| 309 | IA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siouxland Mental Health Services, Inc. | Clinical | Current | Accepting new patients |
Locations
625 Court St
Sioux City, IA 51101
Phone (712) 252-3871
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.
-
- Community/Behavioral Health Agency
- Sioux City, IA
- NPI 1952529950
Clinical, IA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1649235367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1917",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511021917",
"telephone_number": "712-252-3871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 COURT ST",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511011919",
"telephone_number": "712-252-3871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWALVE",
"first_name": "LUCILLE",
"middle_name": "SUSAN",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-18",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "00309",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.