Susan Sweetwater, MSW, SWAIC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC 60204022 Issued in WA

Practice address

9112 NE Spruce St
PO Box 117
Indianola, WA 98342

Phone

(360) 616-1491

NPI assigned

Mar 6, 2013

Last updated

Nov 14, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 11, 2020 through Feb 11, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1841531480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9112 NE SPRUCE ST",
            "address_2": "PO BOX 117",
            "city": "INDIANOLA",
            "state": "WA",
            "postal_code": "98342",
            "telephone_number": "360-616-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9112 NE SPRUCE ST",
            "address_2": "PO BOX 117",
            "city": "INDIANOLA",
            "state": "WA",
            "postal_code": "98342",
            "telephone_number": "360-616-1491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9395 Linder Way NW Ste 202",
            "address_purpose": "LOCATION",
            "city": "Silverdale",
            "state": "WA",
            "postal_code": "983839149",
            "country_code": "US",
            "telephone_number": "360-616-1491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEETWATER",
        "first_name": "SUSAN",
        "credential": "MSW, SWAIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-06",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC 60204022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Jackson, LMFTA, SUDP
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• Sacred Solutions Integrated Counseling PLLC
• Salt and Cedar Midwifery LLC (Salt and Cedar Midwifery)
• Carl Axel Stanovsky, LMHCA

• Clinical Social Worker in Indianola, WA
• Providers in Indianola, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.