Individual provider Active NPI

Leon Richard Schmidt, SOCIAL WORKER

  • Clinical Social Worker
  • Cedar Rapids, IA
National Provider Identifier
1265650899
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00143 Issued in IA
Practice address
222 3Rd Ave SE
Suite 299
Cedar Rapids, IA 52401-1542
Phone
(319) 396-9477
Fax
(319) 396-9477
NPI assigned
Apr 20, 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 00143 IA Primary

Addresses

Primary practice location

222 3Rd Ave SE
Suite 299
Cedar Rapids, IA 52401-1542

Mailing address

2811 Henry CT NW
Cedar Rapids, IA 52405-2953
Phone (319) 396-9477

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

LicenseStateTypeSpecialty
143IAMDMental Health Counselor
00143IAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Services in Iowa, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265650899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 HENRY CT NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524052953",
            "telephone_number": "319-396-9477",
            "fax_number": "319-396-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 3RD AVE SE",
            "address_2": "SUITE 299",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524011542",
            "telephone_number": "319-396-9477",
            "fax_number": "319-396-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "LEON",
        "middle_name": "RICHARD",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "00143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

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.