Individual provider Active NPI

Patti Louise Schwarztrauber, LISW-SUPV

  • Clinical Social Worker
  • Centerville, OH
National Provider Identifier
1053745745
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0009887-SUPV Issued in OH
Practice address
6601 Centerville Business Pkwy Ste 310
Centerville, OH 45459-2697
Phone
(937) 637-6735
NPI assigned
Aug 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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 I.0009887-SUPV OH Primary

Addresses

Primary practice location

6601 Centerville Business Pkwy Ste 310
Centerville, OH 45459-2697

Mailing address

6601 Centerville Business Pkwy Ste 310
Centerville, OH 45459-2697
Phone (937) 974-6106

Other identifiers 1

IdentifierTypeStateIssuer
I9887OtherOHSOCIAL WORK LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20141118002596 OH Practitioner - Clinical Social Worker 9436371846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Ohio State University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

6601 Centerville Business Pkwy
Suite 310
Dayton, OH 45459-2691
Phone (937) 637-6735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC Clinical CurrentSince Mar 3, 2025 Accepting new patients
C Jesse Carlock PH D & Associates Clinical Past Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

6601 Centerville Business Pkwy
Ste 310
Dayton, OH 45459
Phone (937) 637-3765

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

Organizations & group practices 2

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": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1053745745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 CENTERVILLE BUSINESS PKWY STE 310",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592697",
            "telephone_number": "937-974-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 CENTERVILLE BUSINESS PKWY STE 310",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592697",
            "telephone_number": "937-637-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARZTRAUBER",
        "first_name": "PATTI",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LISW-SUPV",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-29",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0009887-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE",
            "identifier": "I9887",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.