David Charles Schroeder, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801097806 Issued in MI

Practice address

3355 Eagle Park Dr NE
Ste 107
Grand Rapids, MI 49525-7004

Phone

(616) 666-9921

Fax

(866) 222-8422

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Transition Pathways,Inc

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1467775668
  Medicare reassignment Authorized official
• Linda S. Squires, D.C., P.C.

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1104226067
  NPD (past)
• Glenwood Center LTD

  • Psychiatry Physician
  • Rockford, IL
  • NPI 1003033861
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1104840537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 EAGLE PARK DRIVE NE",
            "address_2": "STE 107",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495252458",
            "telephone_number": "616-666-9921",
            "fax_number": "866-222-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 EAGLE PARK DR NE",
            "address_2": "STE 107",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257004",
            "telephone_number": "616-666-9921",
            "fax_number": "866-222-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801097806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jane Schreur, LPC
• Chase Lynn Schroder, BEHAVIOR TECHNICIAN
• Adam Joseph Schroeder, PA-C
• Carolyn Jean Schroeder, L.L.P
• Christine Ann Schroeder, LLMSW
• Diane J Schroeder, LLPC
• Hannah Grace Schroeder
• Kelly Marie Schroeder, P.A.-C
• Michael Joseph Schroeder, PA-C
• Sarah Elizabeth Schroeder, FNP-C

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.