Individual provider Active NPI

Henry David Schneider, PH.D., LCSW

  • Clinical Social Worker
  • Columbia, MO
National Provider Identifier
1346329430
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000600 Issued in MO
Practice address
2804 Forum Blvd
3A
Columbia, MO 65203-6322
Phone
(573) 446-6290
Fax
(573) 446-0618
NPI assigned
Nov 2, 2006
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 000600 MO Primary

Addresses

Primary practice location

2804 Forum Blvd
3A
Columbia, MO 65203-6322

Mailing address

2804 Forum Blvd
3A
Columbia, MO 65203-6322
Phone (573) 446-6290

Other names 1

  • Dr. Hank David Schneider Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20110629000143 MO Practitioner - Clinical Social Worker 2860670585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2804 Forum Blvd
Columbia, MO 65203-6322

2804 Forum Blvd
3A
Columbia, MO 65203-6661
Phone 57344662901004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
000600MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Henry D. Schneider, PH.D., LCSW, Inc. CurrentSince Jan 1, 2011 Accepting new patients
Shelly M Ossana PHD LLC PastSince Jul 9, 2023 Accepting new patients

Locations

2804 Forum Blvd
#3A
Columbia, MO 65203
Phone (573) 446-6290

2804 Forum Blvd
Ste 3A
Columbia, MO 65203
Phone (573) 446-6290

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346329430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 FORUM BLVD",
            "address_2": "3A",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036322",
            "telephone_number": "573-446-6290",
            "fax_number": "573-446-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 FORUM BLVD",
            "address_2": "3A",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036322",
            "telephone_number": "573-446-6290",
            "fax_number": "573-446-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "HENRY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "000600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANK",
            "last_name": "SCHNEIDER",
            "middle_name": "DAVID",
            "prefix": "DR.",
            "credential": "PH.D., LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.