Organization Active NPI

Swan Counseling LLC

  • Clinical Social Worker
  • Middleburg Heights, OH
National Provider Identifier
1720544299
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SWAN COUNSELING LLC
Practice address
16600 W Sprague Rd Ste 190
Middleburg Heights, OH 44130-6398
Phone
(440) 725-4971
NPI assigned
Feb 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Mrs. Satwant Khanna, LISW-S, LICDC-CS
Title
Ceo
Phone
(440) 725-4971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

16600 W Sprague Rd Ste 190
Middleburg Heights, OH 44130-6398

Mailing address

19314 Saratoga TRL
Strongsville, OH 44136-7260
Phone (440) 725-4971

Other identifiers 1

IdentifierTypeStateIssuer
0255949MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230715000658 OH Part B Supplier - Clinic/Group Practice 3072973585 Receives reassigned benefits from 1 practitioner
Practice locations: Middleburg Heights, OH

National Provider Directory

National Provider Directory

Locations

750 E Washington St
Ste D2
Medina, OH 44256
Phone (330) 725-5333

16600 W Sprague Rd
Ste 190
Middleburg Heights, OH 44130
Phone (216) 714-0092

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1720544299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19314 SARATOGA TRL",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441367260",
            "telephone_number": "440-725-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16600 W SPRAGUE RD STE 190",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441306398",
            "telephone_number": "440-725-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAN COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "KHANNA",
        "authorized_official_first_name": "SATWANT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-725-4971",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW-S, LICDC-CS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0255949",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.