Individual provider Active NPI

Robert Swiatek, LMSW

  • Clinical Social Worker
  • Whitehall, MI
National Provider Identifier
1841526530
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801088358 Issued in MI
Practice address
116 W Colby St
Suite B1
Whitehall, MI 49461-1083
Phone
(231) 893-8336
Fax
(231) 981-5277
NPI assigned
Oct 30, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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 6801088358 MI Primary

Addresses

Primary practice location

116 W Colby St
Suite B1
Whitehall, MI 49461-1083

Mailing address

116 W Colby St
Suite B1
Whitehall, MI 49461-1083
Phone (231) 893-8336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100623000750 MI Practitioner - Clinical Social Worker 9739210592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Willow Path Counseling ServicesGroup PAC ID 2163791146, 3 clinicians

Practice addresses (Care Compare)

5725 Venture Park Dr
Suite B
Kalamazoo, MI 49009-2816
Phone (269) 459-8889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801088358MIMDClinical Social Worker

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": "1256860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1841526530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W COLBY ST",
            "address_2": "SUITE B1",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611083",
            "telephone_number": "231-893-8336",
            "fax_number": "231-981-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W COLBY ST",
            "address_2": "SUITE B1",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611083",
            "telephone_number": "231-893-8336",
            "fax_number": "231-981-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIATEK",
        "first_name": "ROBERT",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-30",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, MI

Sources for this page

Verify at the official NPI Registry.