Individual provider Active NPI

Karla Sue Schoof, LCSW

  • Clinical Social Worker
  • La Porte, IN
National Provider Identifier
1366169088
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34009976A Issued in IN
Practice address
1230 W State Road 2
La Porte, IN 46350-5537
Phone
(219) 362-2145
Fax
(219) 362-1143
NPI assigned
Oct 24, 2022
Last updated
Oct 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 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 34009976A IN Primary

Addresses

Primary practice location

1230 W State Road 2
La Porte, IN 46350-5537

Mailing address

1230 W State Road 2
La Porte, IN 46350-5537
Phone (219) 362-2145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20221215001533 IN Practitioner - Clinical Social Worker 9537538491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Laporte County Comprehensive Mental Health CouncilGroup PAC ID 3274703046, 20 clinicians

Practice addresses (Care Compare)

7224 W 400
Michigan City, IN 46360-2903
Phone (219) 879-4621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Laporte County Comprehensive Mental Health Council CurrentSince Nov 18, 2022 Accepting new patients
Laporte County Comprehensive Mental Health Council PastSince Oct 30, 2022 Accepting new patients

Locations

7224 W 400 N
Michigan City, IN 46360
Phone (219) 879-4621

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1366169088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 W STATE ROAD 2",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463505537",
            "telephone_number": "219-362-2145",
            "fax_number": "219-362-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 W STATE ROAD 2",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463505537",
            "telephone_number": "219-362-2145",
            "fax_number": "219-362-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOOF",
        "first_name": "KARLA",
        "middle_name": "SUE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009976A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

Verify at the official NPI Registry.