Swan'S Therapeutic Services PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

C008432 Issued in NC

Legal business name

SWAN'S THERAPEUTIC SERVICES PLLC

Practice address

136 Mangum Cir
Mooresville, NC 28117-6916

Phone

(803) 290-3081

NPI assigned

Jan 6, 2014

Organization subpart

No

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

Authorized official

Name

Dishema S. Shuler, LCSWNPI 1821355405

Title

Clinical Director

Phone

(336) 456-9907

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dishema S. Shuler

  • Clinical Social Worker
  • Mooresville, NC
  • NPI 1821355405
  NPD Authorized official

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1982026282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 MANGUM CIR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176916",
            "telephone_number": "803-290-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 MANGUM CIR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176916",
            "telephone_number": "803-290-3081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4012 Tutbury Dr",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "NC",
            "postal_code": "272827789",
            "country_code": "US",
            "telephone_number": "803-290-2322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SWAN'S THERAPEUTIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "SHULER",
        "authorized_official_first_name": "DISHEMA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "336-456-9907",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C008432",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982026282",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.therapynotes.com/",
            "affiliation": "N",
            "endpointDescription": "HIE",
            "address_1": "136 Mangum Cir",
            "city": "Mooresville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281176916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community/Behavioral Health Agency in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.