Individual ProviderJoshua Eric SwetnamSocial WorkerBehavioral Health & Social Service ProvidersPractice Address161 Weisser Ave, Louisville, KY 40206-2761(502) 494-1669PECOS EnrollmentBased on the most recent information from CMS, provider Joshua Eric Swetnam does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1649500380Provider TypeIndividualFull NameSwetnam, Joshua EricCredentialLCSWGenderMaleSole ProprietorNoEnumeration Date12/31/2009Last Updated1/1/2016Contact InformationPractice LocationPractice Address161 Weisser Ave, Louisville, KY 40206-2761Phone(502) 494-1669FaxUnlisted FaxMailing LocationMailing Address161 Weisser Ave, Louisville, KY 40206-2761Phone(502) 494-1669FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense2083KentuckyProvider IdentifiersIDDescriptionIssuerID12696055DescriptionOtherIssuerCAQHKentuckyID7100287140DescriptionMedicaidIssuerUnlistedKentucky