Gina Rachel Schuchman, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

00778 Issued in MN

Practice address

4640 W 77TH St
Suite 205
Edina, MN 55435-4908

Phone

(952) 835-1616

Fax

(952) 835-6182

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

No

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 MN

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Evolving Woman Enterprises, Inc.

  • Clinical Social Worker
  • Edina, MN
  • NPI 1013099191
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114014016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 W 77TH ST",
            "address_2": "SUITE 205",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354908",
            "telephone_number": "952-835-1616",
            "fax_number": "952-835-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 W 77TH ST",
            "address_2": "SUITE 205",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354908",
            "telephone_number": "952-835-1616",
            "fax_number": "952-835-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUCHMAN",
        "first_name": "GINA",
        "middle_name": "RACHEL",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "00778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Charles Schroeckenstein, MD
• Stephanie J Schroeder, OTR,CHT
• Tamara Schroeher, DPT
• Jordan Michael Schrom
• Jacob Schuchman Falk, M.S.W., L.I.C.S.W
• Dustin Jon Schuett, D.O.
• Sally Walker Schuette, DDS
• Joshua Dean Schulte, MD
• Ashley Elizabeth Schultz Henricksen, LICSW
• David M Schultz, M.D.

• Clinical Social Worker in Edina, MN
• Providers in Edina, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.