Individual provider Active NPI

Josie Schmidt

  • Clinical Social Worker
  • Fargo, ND
National Provider Identifier
1508550435
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5322 Issued in ND
Practice address
301 NP Ave N
Fargo, ND 58102-4835
Phone
(701) 271-3344
NPI assigned
Jun 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SWB-2022-0496 NM
Clinical Social Worker 1041C0700X 5322 ND Primary

Addresses

Primary practice location

301 NP Ave N
Fargo, ND 58102-4835

Mailing address

301 NP Ave N
Fargo, ND 58102-4835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230803003728 ND Practitioner - Clinical Social Worker 6103287388 Reassigns benefits to 1 organization
I20240719002869 NM Practitioner - Clinical Social Worker 6103287388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Counseling Las Cruces LLCGroup PAC ID 8820385271, 15 clinicians

Practice addresses (Care Compare)

530 N Church St
Las Cruces, NM 88001-3440
Phone (575) 526-9878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWB-2022-0496NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Las Cruces, LLC CurrentSince Aug 15, 2024 Accepting new patients
Family Health Care Center Current Accepting new patients
Family Health Care Center CurrentSince Jul 24, 2023 Accepting new patients
Family Health Care Center CurrentSince Jul 24, 2023 Accepting new patients

Locations

301 Np Ave N
Fargo, ND 58102

4025 9th Ave S
Fargo, ND 58103
Phone (701) 551-2446

530 N Church St
Las Cruces, NM 88001
Phone (575) 526-9878

Organizations & group practices 4

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": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1508550435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NP AVE N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NP AVE N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024835",
            "telephone_number": "701-271-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "JOSIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2022-0496",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "5322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.