Individual provider Active NPI

Caroline L Swantkoski, LMFT

  • Marriage & Family Therapist
  • Upper Darby, PA
National Provider Identifier
1790276236
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MF001002 Issued in PA
Practice address
225 S 69TH St
Upper Darby, PA 19082-4212
Phone
(610) 352-8943
NPI assigned
May 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MF001002 PA Primary

Addresses

Primary practice location

225 S 69TH St
Upper Darby, PA 19082-4212

Mailing address

1015 Bear Tavern Rd
Ewing, NJ 08628-1011
Phone (908) 581-5558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MF001002PAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Liv Well Associates PastSince Jan 1, 2024 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": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1790276236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 BEAR TAVERN RD",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086281011",
            "telephone_number": "908-581-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S 69TH ST",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190824212",
            "telephone_number": "610-352-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANTKOSKI",
        "first_name": "CAROLINE",
        "middle_name": "L",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF001002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Darby, PA

Sources for this page

Verify at the official NPI Registry.