Active NPI
Michelle Suzanne Schmidt, MSW LCSW
- Clinical Social Worker
- Saint Peters, MO
National Provider Identifier
1164613618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2005025549
- Practice address
- 1270 Jungermann Rd
Suite D
Saint Peters, MO 63376-6960 - Phone
- (314) 680-0881
- NPI assigned
- Aug 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 2005025549 | MO | Primary |
Addresses
Primary practice location
1270 Jungermann Rd
Suite D
Saint Peters, MO 63376-6960
Mailing address
1270 Jungermann Rd
Suite D
Saint Peters, MO 63376-6960
Phone (314) 680-0881
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2005025549 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213228800000",
"number": "1164613618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1270 JUNGERMANN RD",
"address_2": "SUITE D",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633766960",
"telephone_number": "314-680-0881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1270 JUNGERMANN RD",
"address_2": "SUITE D",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633766960",
"telephone_number": "314-680-0881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "MICHELLE",
"middle_name": "SUZANNE",
"name_prefix": "Mrs.",
"credential": "MSW LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-08",
"last_updated": "2008-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2005025549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.