Individual provider Active NPI

Christine Albino Swiersz, L.C.S.W.

  • Clinical Social Worker
  • Fort Myers, FL
National Provider Identifier
1710121470
Registry record updated Apr 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW2757 Issued in FL
Practice address
16940 Colony Lakes Blvd
Fort Myers, FL 33908-9602
Phone
(239) 267-6364
NPI assigned
Apr 25, 2009
Last updated
Apr 25, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2009

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 SW2757 FL Primary

Addresses

Primary practice location

16940 Colony Lakes Blvd
Fort Myers, FL 33908-9602

Mailing address

16940 Colony Lakes Blvd
Fort Myers, FL 33908-9602
Phone (239) 267-6364

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
SW2757FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1240617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240617600000",
    "number": "1710121470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16940 COLONY LAKES BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089602",
            "telephone_number": "239-267-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16940 COLONY LAKES BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089602",
            "telephone_number": "239-267-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIERSZ",
        "first_name": "CHRISTINE",
        "middle_name": "ALBINO",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-25",
        "last_updated": "2009-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW2757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2009; 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.