Individual provider Active NPI

Amy L Swaim, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1841355351
Registry record updated May 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004130 Issued in NC
Practice address
5613 Duraleigh Rd
Suite 161
Raleigh, NC 27612-2694
Phone
(919) 830-2072
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2012

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 C004130 NC Primary

Addresses

Primary practice location

5613 Duraleigh Rd
Suite 161
Raleigh, NC 27612-2694

Mailing address

716 Winding Oak Way
Clayton, NC 27520-7129
Phone (919) 830-2072

Other identifiers 3

IdentifierTypeStateIssuer
131EXOtherNCBCBS PROVIDER NUMBER
6002437MedicaidNC
061677882OtherNCFEDERAL TAX

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
C004130NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337472000000",
    "number": "1841355351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 WINDING OAK WAY",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275207129",
            "telephone_number": "919-830-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5613 DURALEIGH RD",
            "address_2": "SUITE 161",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122694",
            "telephone_number": "919-830-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAIM",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2012-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "131EX",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002437",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX",
            "identifier": "061677882",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2012; 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.