Active NPI
Geoffrey C Schiller, MSW, LICSW, CMHS
- Clinical Social Worker
- Long Beach, WA
National Provider Identifier
1124110416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW00004751
- Practice address
- 1107 Pacific Highway North
Long Beach, WA 98631 - Phone
- (360) 642-3787
- Fax
- (360) 642-2096
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW00004751 | WA | Primary |
Addresses
Primary practice location
1107 Pacific Highway North
Long Beach, WA 98631
Mailing address
PO Box 863
Long Beach, WA 98631
Phone (360) 642-6787
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 911324228-98586-A003 | Other | WA | TRIWEST |
| SC9386 | Other | WA | REGENCE |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124110416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 863",
"city": "LONG BEACH",
"state": "WA",
"postal_code": "98631",
"telephone_number": "360-642-6787",
"fax_number": "360-642-2096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 PACIFIC HIGHWAY NORTH",
"city": "LONG BEACH",
"state": "WA",
"postal_code": "98631",
"telephone_number": "360-642-3787",
"fax_number": "360-642-2096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHILLER",
"first_name": "GEOFFREY",
"middle_name": "C",
"credential": "MSW, LICSW, CMHS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW00004751",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST",
"identifier": "911324228-98586-A003",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "SC9386",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, WA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.