Individual provider Active NPI

Deborah Schmidt, L.C.S.W.

  • Clinical Social Worker
  • Laguna Hills, CA
National Provider Identifier
1487708657
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS9240 Issued in CA
Practice address
23441 S Pointe Dr Ste 140
Laguna Hills, CA 92653-1550
Phone
(949) 829-9447
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 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 LCS9240 CA Primary

Addresses

Primary practice location

23441 S Pointe Dr Ste 140
Laguna Hills, CA 92653-1550

Mailing address

23441 S Pointe Dr Ste 140
Laguna Hills, CA 92653-1550
Phone (949) 829-9447

Other practice location 1

30131 Town Center Drive
Suite 292
Laguna Niguel, CA 92677-2034
Phone (949) 829-9447

Other practice location 2

23101 Lake Center Drive Suite 330
Lake Forest, CA 92630-2034
Phone (949) 829-9447

Other names 1

  • Ms. Deborah Ann Schmidt-Potter Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040714001609 CA Practitioner - Clinical Social Worker 9335128214 Practice locations: Laguna Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

23441 S Pointe Dr
Suite 140
Laguna Hills, CA 92653-1550
Phone (949) 829-9447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS9240CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487708657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23441 S POINTE DR STE 140",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531550",
            "telephone_number": "949-829-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23441 S POINTE DR STE 140",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531550",
            "telephone_number": "949-829-9447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30131 Town Center Drive",
            "address_2": "Suite 292",
            "address_purpose": "LOCATION",
            "city": "Laguna Niguel",
            "state": "CA",
            "postal_code": "926772034",
            "country_code": "US",
            "telephone_number": "949-829-9447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23101 Lake Center Drive Suite 330",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "CA",
            "postal_code": "926302034",
            "country_code": "US",
            "telephone_number": "949-829-9447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "DEBORAH",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS9240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "SCHMIDT-POTTER",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.