Active NPI
Jonathan Swiftney, LLMSW
- Clinical Social Worker
- Lowell, MI
National Provider Identifier
1790349702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801103561
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6801103561 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martino Health & Wellness | 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.
-
- Mental Health Counselor
- Lowell, MI
- NPI 1982416111
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.