Individual provider Active NPI

Elizabeth Mary Schumack, LICSW

  • Clinical Social Worker
  • Golden Valley, MN
National Provider Identifier
1316615206
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27594 Issued in MN
Practice address
4284 Dahlberg Dr
Golden Valley, MN 55422-4805
Phone
(612) 888-4788
NPI assigned
Sep 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 27594 MN Primary

Addresses

Primary practice location

4284 Dahlberg Dr
Golden Valley, MN 55422-4805

Mailing address

2819 1St Ave S
Minneapolis, MN 55408-2351
Phone (612) 232-6857

Electronic endpoints 5

TypeEndpointUseAffiliation
Other URL Eschumack@natalis.psychotherapy.com
Other URL Eschumack@natalispyschotherapy.com
Direct Messaging Address Eschumack@natalispyschotherapy.com
CONNECT URL Eschumack@natalispychotherapy.com
Other URL eschumack@natalispsychology.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4284 Dahlberg Dr
Golden Valley, MN 55422-4805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: eschumack@natalispyschotherapy.com

NPI Registry JSON

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1316615206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 1ST AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082351",
            "telephone_number": "612-232-6857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4284 DAHLBERG DR",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224805",
            "telephone_number": "612-888-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMACK",
        "first_name": "ELIZABETH",
        "middle_name": "MARY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "27594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Eschumack@natalis.psychotherapy.com",
            "affiliation": "N",
            "address_1": "1821 University Ave W",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551042801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Eschumack@natalispyschotherapy.com",
            "affiliation": "N",
            "address_1": "1821 University Ave W",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551042801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Eschumack@natalispyschotherapy.com",
            "affiliation": "N",
            "address_1": "1821 University Ave W",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551042801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Eschumack@natalispychotherapy.com",
            "affiliation": "N",
            "address_1": "1821 University Ave W",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551042801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "eschumack@natalispsychology.com",
            "affiliation": "N",
            "address_1": "1821 University Ave W",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551042801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

Verify at the official NPI Registry.