Individual provider Active NPI

James Schwake II, LMSW

  • Clinical Social Worker
  • Escanaba, MI
National Provider Identifier
1497295000
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801100646 Issued in MI
Practice address
1100 Ludington St
Escanaba, MI 49829-3542
Phone
(906) 786-7212
Fax
(906) 786-0676
NPI assigned
Mar 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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 6801100646 MI Primary

Addresses

Primary practice location

1100 Ludington St
Escanaba, MI 49829-3542

Mailing address

1100 Ludington St
Escanaba, MI 49829-3542
Phone (906) 786-7212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20211110002243 MI Practitioner - Clinical Social Worker 6901295070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Michigan Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1100 Ludington St
Suite 306
Escanaba, MI 49829-3500
Phone (906) 399-9628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801100646MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hiawatha Counseling Services, PLLC Clinical CurrentSince Oct 27, 2021 Accepting new patients

Locations

1100 Ludington St
Ste 306
Escanaba, MI 49829
Phone (906) 399-9628

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.

NPI Registry JSON

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1497295000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LUDINGTON ST",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498293542",
            "telephone_number": "906-786-7212",
            "fax_number": "906-786-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LUDINGTON ST",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498293542",
            "telephone_number": "906-786-7212",
            "fax_number": "906-786-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWAKE",
        "first_name": "JAMES",
        "name_suffix": "II",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-01",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801100646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escanaba, MI

Sources for this page

Verify at the official NPI Registry.