Healthcare Provider Details

I. General information

NPI: 1972372019
Provider Name (Legal Business Name): MICHAEL SCHWING LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/01/2024
Last Update Date: 01/02/2024
Certification Date: 01/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7010 N HIGHWAY 1 APT 203
COCOA FL
32927-5202
US

IV. Provider business mailing address

7010 N HIGHWAY 1 APT 203
COCOA FL
32927-5202
US

V. Phone/Fax

Practice location:
  • Phone: 407-415-1063
  • Fax:
Mailing address:
  • Phone: 407-415-1063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW9379
License Number StateFL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: