Individual provider Active NPI

Alan Schroffel, PH.D

  • Clinical Social Worker
  • Santa Rosa, CA
National Provider Identifier
1255535035
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS8829 Issued in CA
Practice address
403 Chinn St
Santa Rosa, CA 95404-4338
Phone
(707) 578-8765
Fax
(707) 578-8765
NPI assigned
Jun 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LCS8829 CA Primary

Addresses

Primary practice location

403 Chinn St
Santa Rosa, CA 95404-4338

Mailing address

403 Chinn St
Santa Rosa, CA 95404-4338
Phone (707) 578-8765

Other names 1

  • Dr. Alan Schroffel Professional name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LCS8829CAMDClinical Social Worker
8829CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255535035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 CHINN ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044338",
            "telephone_number": "707-578-8765",
            "fax_number": "707-578-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 CHINN ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044338",
            "telephone_number": "707-578-8765",
            "fax_number": "707-578-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROFFEL",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS8829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALAN",
            "last_name": "SCHROFFEL",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Santa Rosa, CA

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.

Verify at the official NPI Registry.