Individual provider Active NPI

Simon Micah Anderson Schelling, MSW, LCSW

  • Social Worker
  • Valparaiso, IN
National Provider Identifier
1215719828
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
34012538A Issued in IN
Practice address
954 Eastport Centre Dr Ste a
Valparaiso, IN 46383-4456
Phone
(219) 386-3386
Fax
(219) 245-6115
NPI assigned
Oct 18, 2023
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 34012538A IN Primary

Addresses

Primary practice location

954 Eastport Centre Dr Ste a
Valparaiso, IN 46383-4456

Mailing address

954 Eastport Centre Dr Ste B
Valparaiso, IN 46383-4456
Phone (219) 386-3386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

535 Mack Ave
Kingsley, MI 49649-9220

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34012538AINMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1215719828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 EASTPORT CENTRE DR STE B",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834456",
            "telephone_number": "219-386-3386",
            "fax_number": "219-245-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 EASTPORT CENTRE DR STE A",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834456",
            "telephone_number": "219-386-3386",
            "fax_number": "219-245-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON SCHELLING",
        "first_name": "SIMON",
        "middle_name": "MICAH",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-18",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "34012538A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.