Active NPI
Erin Marie Swenson-Reinhold, LCSW
- Clinical Social Worker
- Longwood, FL
National Provider Identifier
1659585735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW8991
- Practice address
- 112 Countryside Dr
Longwood, FL 32779-3524 - Phone
- (407) 865-5942
- NPI assigned
- May 9, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7979 | NE | |
| Clinical Social Worker | 1041C0700X | SW8991 | FL | Primary |
Addresses
Primary practice location
112 Countryside Dr
Longwood, FL 32779-3524
Mailing address
112 Countryside Drive
Longwood, FL 32779
Phone (407) 865-5942
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025001700 | Medicaid | NE |
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 |
|---|---|---|---|
| SW8991 | FL | MD | Clinical Social Worker |
| 7979 | NE | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210723200000",
"number": "1659585735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 COUNTRYSIDE DRIVE",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "32779",
"telephone_number": "407-865-5942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 COUNTRYSIDE DR",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327793524",
"telephone_number": "407-865-5942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWENSON-REINHOLD",
"first_name": "ERIN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2008-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "7979",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW8991",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025001700",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.