Organization Active NPI

Heidi Schneiderhan, LLC

  • Clinical Social Worker
  • Marquette, MI
National Provider Identifier
1508385642
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801063042 Issued in MI
Legal business name
HEIDI SCHNEIDERHAN, LLC
Practice address
708 Chippewa SQ Ste 11
Marquette, MI 49855-4814
Phone
(906) 360-7603
NPI assigned
Sep 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Heidi Schneiderhan, LMSW, CAADC, ADSNPI 1710010749
Title
Owner/Provider
Phone
(906) 249-3642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801063042 MI Primary

Addresses

Primary practice location

708 Chippewa SQ Ste 11
Marquette, MI 49855-4814

Mailing address

708 Chippewa SQ Ste 11
Marquette, MI 49855-4814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171005000621 MI Part B Supplier - Clinic/Group Practice 3072888734 Receives reassigned benefits from 1 practitioner
Practice locations: Marquette, MI

National Provider Directory

National Provider Directory

Locations

708 Chippewa Sq
Ste 11
Marquette, MI 49855
Phone (906) 360-7603

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1508385642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 CHIPPEWA SQ STE 11",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 CHIPPEWA SQ STE 11",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554814",
            "telephone_number": "906-360-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIDI SCHNEIDERHAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-10",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDERHAN",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "906-249-3642",
        "authorized_official_credential": "LMSW, CAADC, ADS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801063042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.