Colleen L Schaub, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I9359 Issued in OH

Practice address

16920 Square Dr
Marysville, OH 43040-9616

Phone

(937) 642-0048

Fax

(937) 642-0048

NPI assigned

Jan 30, 2006

Last updated

Jan 5, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in OH

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

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

New Reflections Counseling Center, LLCGroup PAC ID 3870506249, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New Reflections Counseling Center, LLC

  • Clinical Social Worker
  • Marysville, OH
  • NPI 1154356756
  Medicare reassignment Care Compare group NPD Authorized official
• Consolidated Care Inc

  • Mental Health Counselor
  • West Liberty, OH
  • NPI 1215933569
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1558332379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16920 SQUARE DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430409616",
            "telephone_number": "937-642-0048",
            "fax_number": "937-642-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16920 SQUARE DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430409616",
            "telephone_number": "937-642-0048",
            "fax_number": "937-642-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAUB",
        "first_name": "COLLEEN",
        "middle_name": "L",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I9359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Sampsel
• Melissa Sancho, PHARM.D.
• Emily J Sanders, MSW LSW
• Michael Sanderson
• Kimberly Schaeffer, OTR/L, CHT
• Laura Schmidt, LISW
• Monique Terhaar Schmucker, LPN
• John W Schott, LPC CCDC III E
• Trista Kay Schrickel Feller, MD
• Matthew Thomas Schroeder, RPH

• Clinical Social Worker in Marysville, OH
• Providers in Marysville, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.