Individual provider Active NPI

Caitlin Dubois Schmitz, LCSW, CADC

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1306366877
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.019341 Issued in IL
Practice address
3108 Hennepin Ave
Minneapolis, MN 55408-2619
Phone
(952) 334-7022
NPI assigned
Jun 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 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 149.019341 IL Primary

Addresses

Primary practice location

3108 Hennepin Ave
Minneapolis, MN 55408-2619

Mailing address

3108 Hennepin Ave
Minneapolis, MN 55408-2619
Phone (952) 334-7022

Other practice location 1

2324 University Ave W Ste 120
Saint Paul, MN 55114-1854
Phone (952) 334-7022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20170914002266 MN Practitioner - Clinical Social Worker 1153695184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Loyola University of Chicago, Stritch School of Medicine, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3108 Hennepin Ave
Minneapolis, MN 55408-2619
Phone (952) 334-7022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.019341ILMDClinical Social Worker
26386MNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cait Schmitz, LLC Clinical CurrentSince Oct 27, 2020 Accepting new patients

Locations

3108 Hennepin Ave
Minneapolis, MN 55408
Phone (952) 334-7022

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": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1306366877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 HENNEPIN AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082619",
            "telephone_number": "952-334-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 HENNEPIN AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082619",
            "telephone_number": "952-334-7022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2324 University Ave W Ste 120",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551141854",
            "country_code": "US",
            "telephone_number": "952-334-7022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMITZ",
        "first_name": "CAITLIN",
        "middle_name": "DUBOIS",
        "name_prefix": "Miss",
        "credential": "LCSW, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.