Basic Information
| Provider Information | |||||||||
| NPI: | 1841526530 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SWIATEK | ||||||||
| FirstName: | ROBERT | ||||||||
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| Credential: | LMSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 116 W COLBY ST | ||||||||
| Address2: | SUITE B1 | ||||||||
| City: | WHITEHALL | ||||||||
| State: | MI | ||||||||
| PostalCode: | 494611083 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2318938336 | ||||||||
| FaxNumber: | 2319815277 | ||||||||
| Practice Location | |||||||||
| Address1: | 116 W COLBY ST | ||||||||
| Address2: | SUITE B1 | ||||||||
| City: | WHITEHALL | ||||||||
| State: | MI | ||||||||
| PostalCode: | 494611083 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2318938336 | ||||||||
| FaxNumber: | 2319815277 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/30/2009 | ||||||||
| LastUpdateDate: | 11/29/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 6801088358 | MI | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.