Individual provider Active NPI

Jennifer Anne Schmitz, LCSW

  • Clinical Social Worker
  • Fort Carson, CO
National Provider Identifier
1053305607
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2735 Issued in OR
Practice address
Evans Army Medical Center
BLDG 7490 E Sutherland Cir & Provide Comfort Dr
Fort Carson, CO 80913-9500
Phone
(719) 526-5815
Fax
(719) 524-2258
NPI assigned
Sep 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L2735 OR
Clinical Social Worker 1041C0700X 2735 OR Primary

Addresses

Primary practice location

Evans Army Medical Center
BLDG 7490 E Sutherland Cir & Provide Comfort Dr
Fort Carson, CO 80913-9500

Mailing address

Evans Army Medical Center
BLDG 7490 E Sutherland Cir & Provide Comfort Dr
Fort Carson, CO 80913-9500
Phone (719) 526-5815

Other practice location 1

Madigan Army Medical Center
9040 Jackson Ave
Tacoma, WA 98531
Phone (253) 968-4851

Other practice location 2

Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431-1100
Phone (253) 968-4851

Other practice location 3

Robinson Clinic, Embedded Behavioral Health Team 10
BLDG 7490 E Sutherland Cir & Provide Comfort Dr
Fort Carson, CO 80913-9500
Phone (719) 526-5815

Other names 1

  • Ms. Jennifer Anne Hettel Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.a.schmitz4.civ@mail.mil Direct

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

LicenseStateTypeSpecialty
L2735ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1053305607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EVANS ARMY MEDICAL CENTER",
            "address_2": "BLDG 7490 E SUTHERLAND CIR & PROVIDE COMFORT DR",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809139500",
            "telephone_number": "719-526-5815",
            "fax_number": "719-524-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EVANS ARMY MEDICAL CENTER",
            "address_2": "BLDG 7490 E SUTHERLAND CIR & PROVIDE COMFORT DR",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809139500",
            "telephone_number": "719-526-5815",
            "fax_number": "719-524-2258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Madigan Army Medical Center",
            "address_2": "9040 Jackson Ave",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "98531",
            "country_code": "US",
            "telephone_number": "253-968-4851",
            "fax_number": "253-968-3731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Madigan Army Medical Center 9040 Jackson Ave",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984311100",
            "country_code": "US",
            "telephone_number": "253-968-4851",
            "fax_number": "253-968-3731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Robinson Clinic, Embedded Behavioral Health Team 10",
            "address_2": "BLDG 7490 E Sutherland Cir & Provide Comfort Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Carson",
            "state": "CO",
            "postal_code": "809139500",
            "country_code": "US",
            "telephone_number": "719-526-5815",
            "fax_number": "719-524-2258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMITZ",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L2735",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "2735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.a.schmitz4.civ@mail.mil",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Evans Army Medical Center",
            "address_2": "BLDG 7490 E Sutherland Cir & Provide Comfort Dr",
            "city": "Fort Carson",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809139500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HETTEL",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Carson, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.