Active NPI
Paul Samuel Schuster
- Clinical Social Worker
- Minneapolis, MN
National Provider Identifier
1568090462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 27468
- Practice address
- 3249 Hennepin Ave Ste 258
Minneapolis, MN 55408-3993 - Phone
- (612) 900-3962
- NPI assigned
- Mar 28, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 27468 | MN | Primary |
Addresses
Primary practice location
3249 Hennepin Ave Ste 258
Minneapolis, MN 55408-3993
Mailing address
3249 Hennepin Ave Ste 258
Minneapolis, MN 55408-3993
Phone (612) 900-3962
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 10, 2025 through Jun 10, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27468 | MN | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585353600000",
"number": "1568090462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3249 HENNEPIN AVE STE 258",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554083993",
"telephone_number": "612-900-3962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3249 HENNEPIN AVE STE 258",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554083993",
"telephone_number": "612-900-3962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUSTER",
"first_name": "PAUL",
"middle_name": "SAMUEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-28",
"last_updated": "2020-03-28",
"certification_date": "2020-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "27468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.