Individual provider Active NPI

Timothy A Swain, MSW, LCSW

  • Clinical Social Worker
  • Kokomo, IN
National Provider Identifier
1982712113
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34003837A Issued in IN
Practice address
322 N Main St
Kokomo, IN 46901-4622
Phone
(765) 453-8555
Fax
(765) 453-8114
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34003837A IN Primary

Addresses

Primary practice location

322 N Main St
Kokomo, IN 46901-4622

Mailing address

6626 E 75TH St
Suite 500
Indianapolis, IN 46250-2805
Phone (317) 621-7561

Other practice location 1

550 S Hoke Ave
Frankfort, IN 46041-2664
Phone (765) 448-8000

Other identifiers 1

IdentifierTypeStateIssuer
000001130406OtherINANTHEM PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34003837AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arnett Clinic, LLC Current Accepting new patients

Locations

8016 Reliable Pkwy
Chicago, IL 60686

550 S Hoke Ave
Frankfort, IN 46041
Phone (765) 659-1110

2600 Greenbush St
Lafayette, IN 47904

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1982712113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST",
            "address_2": "SUITE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502805",
            "telephone_number": "317-621-7561",
            "fax_number": "317-355-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 N MAIN ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014622",
            "telephone_number": "765-453-8555",
            "fax_number": "765-453-8114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 S Hoke Ave",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "IN",
            "postal_code": "460412664",
            "country_code": "US",
            "telephone_number": "765-448-8000",
            "fax_number": "765-659-2577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWAIN",
        "first_name": "TIMOTHY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003837A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000001130406",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.