Individual provider Active NPI

Carl L Schmitzer, MSW LCSW PIP

  • Social Worker
  • Sioux Falls, SD
National Provider Identifier
1538152384
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
254 Issued in SD
Practice address
5000 S Minnesota Ave
Suite 200
Sioux Falls, SD 57108-2707
Phone
(605) 271-1348
Fax
(605) 610-1477
NPI assigned
Aug 26, 2005
Last updated
Mar 10, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 254 SD Primary

Addresses

Primary practice location

5000 S Minnesota Ave
Suite 200
Sioux Falls, SD 57108-2707

Mailing address

5000 S Minnesota Ave
Suite 200
Sioux Falls, SD 57108-2707
Phone (605) 271-1348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
254SDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sandbulte Inc Past Accepting new patients
Bunkers Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236643200000",
    "number": "1538152384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 S MINNESOTA AVE",
            "address_2": "SUITE 200",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082707",
            "telephone_number": "605-271-1348",
            "fax_number": "605-610-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 S MINNESOTA AVE",
            "address_2": "SUITE 200",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082707",
            "telephone_number": "605-271-1348",
            "fax_number": "605-610-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMITZER",
        "first_name": "CARL",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MSW LCSW PIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2009-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SD",
            "license": "254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.