Individual provider Active NPI

Eric M Schaat, LCSW

  • Clinical Social Worker
  • Ammon, ID
National Provider Identifier
1386077204
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-38873 Issued in ID
Practice address
3522 Briar Creek LN
Ammon, ID 83406-4728
Phone
(208) 529-1660
Fax
(208) 529-1699
NPI assigned
Aug 14, 2013
Last updated
Mar 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 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 Worker 1041C0700X LCSW-38873 ID Primary

Addresses

Primary practice location

3522 Briar Creek LN
Ammon, ID 83406-4728

Mailing address

PO Box 3858
Idaho Falls, ID 83403-3858
Phone (208) 529-1660

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-38873IDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1386077204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3858",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834033858",
            "telephone_number": "208-529-1660",
            "fax_number": "208-529-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3522 BRIAR CREEK LN",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064728",
            "telephone_number": "208-529-1660",
            "fax_number": "208-529-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAAT",
        "first_name": "ERIC",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-14",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-38873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ammon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.