Healthcare Provider Details

I. General information

NPI: 1376740886
Provider Name (Legal Business Name): MICHAEL GEORGE SWIHART MA, LSW, LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58539 C.R. 13
ELKHART IN
46516
US

IV. Provider business mailing address

58539 C.R. 13
ELKHART IN
46516
US

V. Phone/Fax

Practice location:
  • Phone: 574-875-7473
  • Fax:
Mailing address:
  • Phone: 574-875-7473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number33002247A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number35000657A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: