Active NPI
Julia Shawn Swink, LMSW
- Social Worker
- Johnson City, TN
National Provider Identifier
1972740512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LSW0000006424
- Practice address
- 2208 Marion Dr
Johnson City, TN 37601-9288 - Phone
- (423) 926-1171
- Fax
- (423) 979-2847
- NPI assigned
- Jan 20, 2009
- Last updated
- Jan 20, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LSW0000006424 | TN | Primary |
Addresses
Primary practice location
2208 Marion Dr
Johnson City, TN 37601-9288
Mailing address
2208 Marion Dr
Johnson City, TN 37601-9288
Phone (423) 926-1171
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW0000006424 | TN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232409600000",
"number": "1972740512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2208 MARION DR",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376019288",
"telephone_number": "423-926-1171",
"fax_number": "423-979-2847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2208 MARION DR",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376019288",
"telephone_number": "423-926-1171",
"fax_number": "423-979-2847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWINK",
"first_name": "JULIA",
"middle_name": "SHAWN",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-20",
"last_updated": "2009-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "LSW0000006424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.