Corrine L Swackhamer, AAS, QMHS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1375 Commerce Dr
New Lexington, OH 43764-9511

Phone

(740) 342-5154

Fax

(740) 342-6704

NPI assigned

Apr 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Applied Science

State licenses

Practice roles

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.

• Land of Goshen Treatment Center, Inc

  • Substance Abuse Rehabilitation Facility
  • Ironton, OH
  • NPI 1568822633
  NPD (past)

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1881258960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 BELL ST",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011720",
            "telephone_number": "740-454-9766",
            "fax_number": "740-588-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 COMMERCE DR",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437649511",
            "telephone_number": "740-342-5154",
            "fax_number": "740-342-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWACKHAMER",
        "first_name": "CORRINE",
        "middle_name": "L",
        "credential": "AAS, QMHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "141671",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karmin Carter Sullivan, RN
• Sunbridge Healthcare LLC
• Kayla Suttles
• Pamela Sue Suver, FNP
• Maria Elizabeth Svercek-Frank, LPC
• Morgan L Swauger, BSW, LSW
• Melissa M Swetnam, RMA
• Robert Eugene Tahyi, CDCA
• Olivia Tanner
• Judith Taylor, CDCA

• Case Manager/Care Coordinator in New Lexington, OH
• Providers in New Lexington, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.