Individual provider Active NPI

Christiane M Swartz, LCSW LSW

  • Clinical Social Worker
  • Cloverdale, CA
National Provider Identifier
1669416541
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
116154 Issued in CA
Practice address
207 Triplett Dr
Cloverdale, CA 95425-3359
Phone
(509) 998-3254
NPI assigned
Jun 15, 2006
Last updated
Jul 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCSW26322 ID
Clinical Social Worker 1041C0700X 116154 CA Primary

Addresses

Primary practice location

207 Triplett Dr
Cloverdale, CA 95425-3359

Mailing address

207 Triplett Dr
Cloverdale, CA 95425-3359
Phone (509) 998-3254

Other identifiers 1

IdentifierTypeStateIssuer
1693597MedicaidID

Other names 1

  • Christiane M Carr Former name

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

LicenseStateTypeSpecialty
LCSW26322IDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1669416541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 TRIPLETT DR",
            "city": "CLOVERDALE",
            "state": "CA",
            "postal_code": "954253359",
            "telephone_number": "509-998-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 TRIPLETT DR",
            "city": "CLOVERDALE",
            "state": "CA",
            "postal_code": "954253359",
            "telephone_number": "509-998-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARTZ",
        "first_name": "CHRISTIANE",
        "middle_name": "M",
        "credential": "LCSW  LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LCSW26322",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "116154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1693597",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIANE",
            "last_name": "CARR",
            "middle_name": "M",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cloverdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.