Schwisow, Nikki
Schwisow, Nikki is an sole proprietor health care provider with primary practice located at 8537 S Redwood Rd Ste C , West Jordan UT 84088-5713. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Schwisow, Nikki can be contacted via phone (385) 449-2200.Contact Information
Primary practice address
8537 S Redwood Rd Ste C
West Jordan UT 84088-5713
Phone: (385) 449-2200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 8034933-3501 | Utah |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 105617 | Texas |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904014439 | Virginia |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I.2103013 | Ohio |
Profile Details
| NPI number | 1104131697 |
|---|---|
| LBN Legal business name | Schwisow, Nikki |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2010 |
| Last updated | Feb 2nd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104131697 | NPPES |
| Utah | MEDICAID | 876000308007 |
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