Individual provider Active NPI

Mary Beth Schweickert, LCSW

  • Clinical Social Worker
  • Eureka, CA
National Provider Identifier
1003218249
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW28427 Issued in CA
Practice address
922 E St Ste 202
Eureka, CA 95501
Phone
(707) 497-7056
NPI assigned
Sep 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW28427 CA Primary

Addresses

Primary practice location

922 E St Ste 202
Eureka, CA 95501

Mailing address

922 E St Ste 202
Eureka, CA 95501-1873
Phone (707) 497-7056

Other practice location 1

420 Blue Lake Blvd
Blue Lake, CA 95525
Phone (707) 497-7056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151012000925 CA Practitioner - Clinical Social Worker 4587973698 Practice locations: Eureka, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

922 E St
Suite 202
Eureka, CA 95501-1873
Phone (707) 497-7056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW28427CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Xan C Devaney PastSince Aug 13, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1003218249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 E ST STE 202",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011873",
            "telephone_number": "707-497-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 E ST STE 202",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "95501",
            "telephone_number": "707-497-7056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Blue Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Blue Lake",
            "state": "CA",
            "postal_code": "95525",
            "country_code": "US",
            "telephone_number": "707-497-7056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWEICKERT",
        "first_name": "MARY",
        "middle_name": "BETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-18",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW28427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.