Tim Schroeder

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CL60260753 Issued in WA

Practice address

534 S 3Rd Ave
Walla Walla, WA 99362-3177

Phone

(509) 525-0704

NPI assigned

Jul 9, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1518340488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 MALCOLM ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624030",
            "telephone_number": "360-261-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 S 3RD AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623177",
            "telephone_number": "509-525-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "TIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "CL60260753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne M Schmitz, M.D.
• Rosanne F Schneller, O.D.
• Luisa S Scholar, M.D.
• Brandon Schreiner
• Daniel Schroeder, MS
• Renee M Schroetlin, MD
• Elizabeth Ann Schubert, HIS
• Alice Schwartz, PTA
• Eric R Schwartzkopf, MD
• Jason Sedarsky, M.D.

• Clinical Social Worker in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.