Individual provider Active NPI

Erik Swayne, LMSW

  • Clinical Social Worker
  • Fort Worth, TX
National Provider Identifier
1679930671
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
37765 Issued in TX
Practice address
2307 Gravel Dr
Fort Worth, TX 76118-6951
Phone
(682) 429-7066
NPI assigned
Jan 21, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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 37765 TX Primary

Addresses

Primary practice location

2307 Gravel Dr
Fort Worth, TX 76118-6951

Mailing address

5600 N Beach St
1226
Haltom City, TX 76137-2812
Phone (682) 429-7066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220805002452 TX Practitioner - Clinical Social Worker 5092197186 Reassigns benefits to 2 organizations
Practice locations: Southlake, TX
I20260317001712 CO Practitioner - Clinical Social Worker 5092197186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

180 State St
Suite 225
Southlake, TX 76092-7632
Phone (682) 429-7066

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37765TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Directions Weight Management Clinical CurrentSince Aug 7, 2023 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Jul 25, 2022 Accepting new patients

Locations

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1679930671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 N BEACH ST",
            "address_2": "1226",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761372812",
            "telephone_number": "682-429-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 GRAVEL DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761186951",
            "telephone_number": "682-429-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAYNE",
        "first_name": "ERIK",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "37765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.