Individual provider Active NPI

Laura Pauline Schiltz, LICSW

  • Clinical Social Worker
  • Edmonds, WA
National Provider Identifier
1174774566
Registry record updated Oct 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60024569 Issued in WA
Practice address
8000 212TH St SW
Suite G
Edmonds, WA 98026-7451
Phone
(425) 344-7154
NPI assigned
Oct 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2008

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 LW60024569 WA Primary

Addresses

Primary practice location

8000 212TH St SW
Suite G
Edmonds, WA 98026-7451

Mailing address

8000 212TH St SW
Suite G
Edmonds, WA 98026-7451
Phone (425) 344-7154

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

LicenseStateTypeSpecialty
LW60024569WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1223078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223078400000",
    "number": "1174774566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 212TH ST SW",
            "address_2": "SUITE G",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267451",
            "telephone_number": "425-344-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 212TH ST SW",
            "address_2": "SUITE G",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267451",
            "telephone_number": "425-344-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILTZ",
        "first_name": "LAURA",
        "middle_name": "PAULINE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-04",
        "last_updated": "2008-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60024569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.

Verify at the official NPI Registry.