Active NPI
Michael Thomas Schmidt, MSW LCSW
- Clinical Social Worker
- Bronx, NY
National Provider Identifier
1356498703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R0172321
- Practice address
- 4401 Bronx Boulevard
Our Lady of Mercy Medical Center Mental Health Clinic
Bronx, NY 10470 - Phone
- (718) 304-7020
- Fax
- (718) 304-7065
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R0172321 | NY | Primary |
Addresses
Primary practice location
4401 Bronx Boulevard
Our Lady of Mercy Medical Center Mental Health Clinic
Bronx, NY 10470
Mailing address
808 West End Ave
New York City, NY 10025
Phone (212) 865-5358
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0172321 | NY | MD | Clinical Social Worker |
| 017232 | NY | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of Mercy Medical Center | 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.
-
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Bronx, NY
- NPI 1669412847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356498703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 WEST END AVE",
"city": "NEW YORK CITY",
"state": "NY",
"postal_code": "10025",
"telephone_number": "212-865-5358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 BRONX BOULEVARD",
"address_2": "OUR LADY OF MERCY MEDICAL CENTER MENTAL HEALTH CLINIC",
"city": "BRONX",
"state": "NY",
"postal_code": "10470",
"telephone_number": "718-304-7020",
"fax_number": "718-304-7065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "MICHAEL",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "MSW LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R0172321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
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.