Individual provider Active NPI

Jonathan Swiftney, LLMSW

  • Clinical Social Worker
  • Lowell, MI
National Provider Identifier
1790349702
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801103561 Issued in MI
Practice address
11630 Fulton St E
Lowell, MI 49331-9426
Phone
(616) 481-3784
NPI assigned
Apr 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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 6801103561 MI Primary

Addresses

Primary practice location

11630 Fulton St E
Lowell, MI 49331-9426

Mailing address

16955 Royal Ave
Spring Lake, MI 49456-1255
Phone (616) 307-5942

Other practice location 1

3181 Prairie St SW Ste 100
Grandville, MI 49418-2076
Phone (616) 481-3784

Other practice location 2

2305 E Paris Ave SE Ste 203
Grand Rapids, MI 49546-2426
Phone (616) 481-3784

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
6801103561MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Martino Health & Wellness PastSince Jan 26, 2025 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": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1790349702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16955 ROYAL AVE",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494561255",
            "telephone_number": "616-307-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 FULTON ST E",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493319426",
            "telephone_number": "616-481-3784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 Prairie St SW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Grandville",
            "state": "MI",
            "postal_code": "494182076",
            "country_code": "US",
            "telephone_number": "616-481-3784",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2305 E Paris Ave SE Ste 203",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495462426",
            "country_code": "US",
            "telephone_number": "616-481-3784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWIFTNEY",
        "first_name": "JONATHAN",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801103561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.