Individual provider Active NPI

Emilie N Swartz, LSCSW, LAC

  • Clinical Social Worker
  • Ottawa, KS
National Provider Identifier
1861756413
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSCSW 4590 Issued in KS
Practice address
2537 Eisenhower Rd
Ottawa, KS 66067-9482
Phone
(785) 242-3780
Fax
(785) 242-6397
NPI assigned
Jun 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LSCSW 4590 KS Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1066 KS

Addresses

Primary practice location

2537 Eisenhower Rd
Ottawa, KS 66067-9482

Mailing address

PO Box 677
Ottawa, KS 66067-0677
Phone (785) 242-3780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20161107000803 KS Practitioner - Clinical Social Worker 8325326705 Practice locations: Lawrence, KS

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1066KSMDAddiction (Substance Use Disorder) Counselor
LSCSW 4590KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Layton Center, Inc. CurrentSince Feb 8, 2023 Accepting new patients

Locations

2537 Eisenhower Rd
Ottawa, KS 66067
Phone (785) 242-2183

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1861756413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 677",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660670677",
            "telephone_number": "785-242-3780",
            "fax_number": "785-242-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2537 EISENHOWER RD",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660679482",
            "telephone_number": "785-242-3780",
            "fax_number": "785-242-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARTZ",
        "first_name": "EMILIE",
        "middle_name": "N",
        "credential": "LSCSW, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LSCSW 4590",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "1066",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, KS

Sources for this page

Verify at the official NPI Registry.