Provider Demographics
NPI:1841526530
Name:SWIATEK, ROBERT (LMSW)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:SWIATEK
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 W COLBY ST
Mailing Address - Street 2:SUITE B1
Mailing Address - City:WHITEHALL
Mailing Address - State:MI
Mailing Address - Zip Code:49461-1083
Mailing Address - Country:US
Mailing Address - Phone:231-893-8336
Mailing Address - Fax:231-981-5277
Practice Address - Street 1:116 W COLBY ST
Practice Address - Street 2:SUITE B1
Practice Address - City:WHITEHALL
Practice Address - State:MI
Practice Address - Zip Code:49461-1083
Practice Address - Country:US
Practice Address - Phone:231-893-8336
Practice Address - Fax:231-981-5277
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-30
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010883581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical