Individual provider Active NPI

Jamie Swenson

  • Clinical Social Worker
  • Janesville, WI
National Provider Identifier
1689130742
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9898-123 Issued in WI
Practice address
20 E Milwaukee St Ste 211
Janesville, WI 53545-3061
Phone
(608) 449-2356
NPI assigned
Feb 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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 9898-123 WI Primary

Addresses

Primary practice location

20 E Milwaukee St Ste 211
Janesville, WI 53545-3061

Mailing address

1120 Bennett St
Janesville, WI 53545-1804
Phone (608) 931-6771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210219001915 IL Practitioner - Clinical Social Worker 8820403074 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9898-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Counseling Center PLLC Clinical CurrentSince Feb 10, 2021 Accepting new patients
Willow Way Counseling Center LLC Social Worker CurrentSince Oct 20, 2024 Accepting new patients

Locations

6653 Weaver Rd
Ste 112
Rockford, IL 61114
Phone (815) 201-2687

20 E Milwaukee St
Ste 211
Janesville, WI 53545
Phone (608) 449-2356

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": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1689130742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 BENNETT ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535451804",
            "telephone_number": "608-931-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E MILWAUKEE ST STE 211",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535453061",
            "telephone_number": "608-449-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWENSON",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9898-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

Verify at the official NPI Registry.