Individual provider Active NPI

Susan Swatling, MSW

  • Clinical Social Worker
  • Peabody, MA
National Provider Identifier
1861513392
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105254 Issued in MA
Practice address
3 Essex Green Dr
Suite 1
Peabody, MA 01960-2927
Phone
(978) 531-1668
Fax
(978) 532-6366
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 105254 MA Primary

Addresses

Primary practice location

3 Essex Green Dr
Suite 1
Peabody, MA 01960-2927

Mailing address

3 Essex Green Dr
Suite 1
Peabody, MA 01960-2927
Phone (978) 531-1668

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
299NHMDPsychologist
105254MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gross Young Enterprises, Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861513392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ESSEX GREEN DR",
            "address_2": "SUITE 1",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602927",
            "telephone_number": "978-531-1668",
            "fax_number": "978-532-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ESSEX GREEN DR",
            "address_2": "SUITE 1",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602927",
            "telephone_number": "978-531-1668",
            "fax_number": "978-532-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWATLING",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.