Individual provider Active NPI

Swan L. Richesin, LCSW

  • Clinical Social Worker
  • Fort Worth, TX
National Provider Identifier
1659469252
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21139 Issued in TX
Practice address
3116 W 5TH St
Suite 109
Fort Worth, TX 76107-2140
Phone
(817) 870-4842
Fax
(817) 870-4948
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 21139 TX Primary

Addresses

Primary practice location

3116 W 5TH St
Suite 109
Fort Worth, TX 76107-2140

Mailing address

3116 W 5TH St
Suite 109
Fort Worth, TX 76107-2140
Phone (817) 870-4842

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

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659469252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 W 5TH ST",
            "address_2": "SUITE 109",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072140",
            "telephone_number": "817-870-4842",
            "fax_number": "817-870-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 W 5TH ST",
            "address_2": "SUITE 109",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072140",
            "telephone_number": "817-870-4842",
            "fax_number": "817-870-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHESIN",
        "first_name": "SWAN",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "21139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

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.

Verify at the official NPI Registry.