Active NPI
Debra Sue Schnoor, LCSW, CSAC, MSW
- Clinical Social Worker
- Wauwatosa, WI
National Provider Identifier
1235479551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8082-123
- Practice address
- 1220 Dewey Ave
Wauwatosa, WI 53213-2504 - Phone
- (414) 454-6779
- Fax
- (414) 454-6450
- NPI assigned
- Feb 22, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15675-132 | WI | |
| Clinical Social Worker | 1041C0700X | 128174-121 | WI | |
| Clinical Social Worker | 1041C0700X | 8082-123 | WI | Primary |
Addresses
Primary practice location
1220 Dewey Ave
Wauwatosa, WI 53213-2504
Mailing address
36500 Aurora Dr
Summit, WI 53066-4899
Phone (414) 773-4312
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235479551 | Medicaid | WI | |
| SCHNODEB | Other | WI | MERCYCARE INSURANCE |
| 1235479551 | Other | WI | BCBSWI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15675-132 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 128174-121 | WI | MD | Clinical Social Worker |
| 8082-123 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1235479551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36500 AURORA DR",
"city": "SUMMIT",
"state": "WI",
"postal_code": "530664899",
"telephone_number": "414-773-4312",
"fax_number": "262-434-5809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 DEWEY AVE",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532132504",
"telephone_number": "414-454-6779",
"fax_number": "414-454-6450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNOOR",
"first_name": "DEBRA",
"middle_name": "SUE",
"credential": "LCSW, CSAC, MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-22",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "15675-132",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "128174-121",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "8082-123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235479551",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCYCARE INSURANCE",
"identifier": "SCHNODEB",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSWI",
"identifier": "1235479551",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.