Dirk Swartz, SUDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

477 Bayview Blvd
Newport, WA 99156-8365

Phone

(509) 475-4709

NPI assigned

Nov 22, 2022

Last updated

Nov 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• CPF Colonial, LLC

  dba Colonial Clinic

  • Community/Behavioral Health Agency
  • Spokane, WA
  • NPI 1184389223
  NPD

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1881303402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 BAYVIEW BLVD",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991568365",
            "telephone_number": "509-475-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 BAYVIEW BLVD",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991568365",
            "telephone_number": "509-475-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARTZ",
        "first_name": "DIRK",
        "credential": "SUDP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
            "identifier": "CP60989688",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Lily Stewart, LICSW
• Taylor Katherine Stewart, MD
• Jennifer Stout-Willett, LICSW
• Angela Strange
• Daniel Swain
• Michelle Rose Symons, PA-C
• Suzanne M Tetreault, LMT
• Christopher A. Thomas, DC
• Kawai Lea Towry
• Brittany Maejean Tupper, RDN

• Addiction (Substance Use Disorder) Counselor in Newport, WA
• Providers in Newport, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.