Individual provider Active NPI

Barbara Scott Swimmer, LISW-S, LCDCIII, SAP

  • Clinical Social Worker
  • Lakewood, OH
National Provider Identifier
1689805376
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0031096 Issued in OH
Practice address
14650 Detroit Avenue
Suite LL40
Lakewood, OH 44107
Phone
(216) 226-2721
Fax
(216) 226-2731
NPI assigned
Jul 29, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 071029 OH
Clinical Social Worker 1041C0700X I. 0031096 OH
Clinical Social Worker 1041C0700X I0031096 OH Primary

Addresses

Primary practice location

14650 Detroit Avenue
Suite LL40
Lakewood, OH 44107

Mailing address

14650 Detroit Avenue
Suite LL40
Lakewood, OH 44107
Phone (216) 226-2721

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
071029OHMDAddiction (Substance Use Disorder) Counselor
I. 0031096OHMDClinical Social Worker
I0031096OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
West Mock Associates, Inc Dba Center for Interpersonal Development Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1689805376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14650 DETROIT AVENUE",
            "address_2": "SUITE LL40",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "44107",
            "telephone_number": "216-226-2721",
            "fax_number": "216-226-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14650 DETROIT AVENUE",
            "address_2": "SUITE LL40",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "44107",
            "telephone_number": "216-226-2721",
            "fax_number": "216-226-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIMMER",
        "first_name": "BARBARA",
        "middle_name": "SCOTT",
        "name_prefix": "Ms.",
        "credential": "LISW-S, LCDCIII, SAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-29",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "071029",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I. 0031096",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0031096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.