Active NPI
Kimberlee Schneider, LMSW
- Social Worker
- Poland, NY
National Provider Identifier
1013238583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 094375-1
- Practice address
- 74 Cold Brook St.
Poland, NY 13431 - Phone
- (315) 826-0219
- NPI assigned
- Jun 18, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 094375-1 | NY | Primary |
| School Social Worker | 1041S0200X | 965372151 | NY | |
| Speech-Language Assistant | 2355S0801X | 1265417 | NY |
Addresses
Primary practice location
74 Cold Brook St.
Poland, NY 13431
Mailing address
74 Cold Brook St.
Poland, NY 13431
Phone (315) 826-0219
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 094375-1 | NY | MD | Social Worker |
| 965372151 | NY | MD | School Social Worker |
| 1265417 | NY | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1013238583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 COLD BROOK ST.",
"city": "POLAND",
"state": "NY",
"postal_code": "13431",
"telephone_number": "315-826-0219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 COLD BROOK ST.",
"city": "POLAND",
"state": "NY",
"postal_code": "13431",
"telephone_number": "315-826-0219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEIDER",
"first_name": "KIMBERLEE",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-18",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "094375-1",
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NY",
"license": "965372151",
"primary": false
},
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "NY",
"license": "1265417",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.