Individual provider Active NPI

Michael J Swanwick, LCSW

  • Clinical Social Worker
  • Nanuet, NY
National Provider Identifier
1689161358
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086480-1 Issued in NY
Practice address
266 Avalon Gardens Dr # 266
Nanuet, NY 10954-7428
Phone
(914) 703-5279
NPI assigned
Apr 18, 2018
Last updated
Sep 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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 086480-1 NY Primary

Addresses

Primary practice location

266 Avalon Gardens Dr # 266
Nanuet, NY 10954-7428

Mailing address

108 Gatto LN
Pearl River, NY 10965-1003
Phone (646) 361-5554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20201114000094 NY Practitioner - Clinical Social Worker 5799195186

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

60 Dutch Hill Rd
Suite 4
Orangeburg, NY 10962-1722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
086480-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Counseling LLC Clinical CurrentSince Oct 9, 2020 Accepting new patients

Locations

60 Dutch Hill Rd
Ste 4
Orangeburg, NY 10962
Phone (917) 742-1041

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1689161358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 GATTO LN",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109651003",
            "telephone_number": "646-361-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 AVALON GARDENS DR # 266",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109547428",
            "telephone_number": "914-703-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANWICK",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-18",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086480-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

Verify at the official NPI Registry.