Individual provider Active NPI

Suzanne L Roundy-Schmidt, LCSW

  • Clinical Social Worker
  • Franksville, WI
National Provider Identifier
1417231432
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7706-123 Issued in WI
Practice address
1439 92ND St
Franksville, WI 53126-9710
Phone
(414) 418-2835
Fax
(414) 509-1629
NPI assigned
Oct 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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 7706-123 WI Primary

Addresses

Primary practice location

1439 92ND St
Franksville, WI 53126-9710

Mailing address

740 S 103Rd St
West Allis, WI 53214-2526
Phone (414) 418-2835

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
7706-123WIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1417231432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 S 103RD ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532142526",
            "telephone_number": "414-418-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 92ND ST",
            "city": "FRANKSVILLE",
            "state": "WI",
            "postal_code": "531269710",
            "telephone_number": "414-418-2835",
            "fax_number": "414-509-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUNDY-SCHMIDT",
        "first_name": "SUZANNE",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7706-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franksville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.