Individual provider Active NPI

Eric Matthew Schoenecker

  • Clinical Social Worker
  • Parsons, KS
National Provider Identifier
1265048714
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11310 Issued in KS
Practice address
1906 Main St Ste 112
Parsons, KS 67357-3392
Phone
(620) 432-4044
NPI assigned
Sep 21, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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 11310 KS Primary

Addresses

Primary practice location

1906 Main St Ste 112
Parsons, KS 67357-3392

Mailing address

2611 Corning Ave
Parsons, KS 67357-4005
Phone (620) 432-4044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241211003448 KS Practitioner - Clinical Social Worker 5799211900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3106 Main St
Parsons, KS 67357-2650
Phone (620) 432-4044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11310KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Psychotherapy LLC. Clinical CurrentSince Nov 26, 2024 Accepting new patients
Cottonwood Enterprises Clinical Current Accepting new patients

Locations

3106 Main St
Parsons, KS 67357
Phone (620) 423-3863

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1265048714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 CORNING AVE",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673574005",
            "telephone_number": "620-432-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 MAIN ST STE 112",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673573392",
            "telephone_number": "620-432-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENECKER",
        "first_name": "ERIC",
        "middle_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "11310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsons, KS

Sources for this page

Verify at the official NPI Registry.