Active NPI
Joshua Eric Swetnam, LCSW
- Clinical Social Worker
- Louisville, KY
National Provider Identifier
1649500380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2083
- Practice address
- 161 Weisser Ave
Louisville, KY 40206-2761 - Phone
- (502) 494-1669
- NPI assigned
- Dec 31, 2009
- Last updated
- Jan 1, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2083 | KY | Primary |
Addresses
Primary practice location
161 Weisser Ave
Louisville, KY 40206-2761
Mailing address
161 Weisser Ave
Louisville, KY 40206-2761
Phone (502) 494-1669
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100287140 | Medicaid | KY | |
| 12696055 | Other | KY | CAQH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2083 | KY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451606400000",
"number": "1649500380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 WEISSER AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402062761",
"telephone_number": "502-494-1669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 WEISSER AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402062761",
"telephone_number": "502-494-1669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWETNAM",
"first_name": "JOSHUA",
"middle_name": "ERIC",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-31",
"last_updated": "2016-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "2083",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100287140",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12696055",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.