Individual provider Active NPI

Debra Schauer, LMSW

  • Clinical Social Worker
  • Kalamazoo, MI
National Provider Identifier
1275614208
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801079523 Issued in MI
Practice address
117 W Paterson St
Kalamazoo, MI 49007-2581
Phone
(269) 349-2641
Fax
(269) 466-5522
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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 6801079523 MI Primary

Addresses

Primary practice location

117 W Paterson St
Kalamazoo, MI 49007-2581

Mailing address

117 W Paterson St
Kalamazoo, MI 49007-2581
Phone (269) 349-2641

Other practice location 1

1308 N Burdick St
Kalamazoo, MI 49007-2503
Phone (269) 349-2641

Other practice location 2

505 E Alcott St
Kalamazoo, MI 49001-6144
Phone (269) 349-2641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040519000651 MI Practitioner - Clinical Social Worker 8325039399 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Center, Inc.Group PAC ID 1759370216, 51 clinicians

Practice addresses (Care Compare)

117 W Paterson St
Kalamazoo, MI 49007-2557
Phone (269) 349-2641

117 W Patterson
Kalamazoo, MI 49007-2557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801079523MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Center Inc CurrentSince Jan 13, 2020 Accepting new patients
Kalamazoo County Community Mental Health Authority CurrentSince Sep 15, 2017 Accepting new patients
Kalamazoo County Community Mental Health Authority CurrentSince Sep 15, 2017 Accepting new patients
Family Health Center Inc CurrentSince Jan 13, 2020 Accepting new patients

Locations

615 E Crosstown Pkwy
Kalamazoo, MI 49001
Phone (269) 373-6000

505 E Alcott St
Kalamazoo, MI 49001
Phone 2693492641 ext. 715

117 W Paterson St
Kalamazoo, MI 49007

2030 Portage St
Kalamazoo, MI 49001
Phone (269) 553-7132

1308 N Burdick St
Kalamazoo, MI 49007
Phone (269) 488-0803

Organizations & group practices 4

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1275614208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W PATERSON ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490072581",
            "telephone_number": "269-349-2641",
            "fax_number": "269-201-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W PATERSON ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490072581",
            "telephone_number": "269-349-2641",
            "fax_number": "269-466-5522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1308 N Burdick St",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490072503",
            "country_code": "US",
            "telephone_number": "269-349-2641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 E Alcott St",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490016144",
            "country_code": "US",
            "telephone_number": "269-349-2641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAUER",
        "first_name": "DEBRA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801079523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.