Active NPI
Michelle Leah Schoenfeld, LCSW
- Clinical Social Worker
- Fort Myers, FL
National Provider Identifier
1588032403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW12944
- Practice address
- 1380 Royal Palm Square Blvd
Fort Myers, FL 33919-1077 - Phone
- (239) 887-0749
- NPI assigned
- Sep 9, 2015
- Sex
- Female
- 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 | SW12944 | FL | Primary |
Addresses
Primary practice location
1380 Royal Palm Square Blvd
Fort Myers, FL 33919-1077
Mailing address
1380 Royal Palm Square Blvd
Fort Myers, FL 33919-1077
Phone (239) 788-1060
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| II804Z | Other | FL | MEDICARE PTAN |
| 124521 | Other | MA | LICSW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW12944 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645920000000",
"number": "1588032403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 ROYAL PALM SQUARE BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339191077",
"telephone_number": "239-788-1060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 ROYAL PALM SQUARE BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339191077",
"telephone_number": "239-887-0749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOENFELD",
"first_name": "MICHELLE",
"middle_name": "LEAH",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-09",
"last_updated": "2022-02-27",
"certification_date": "2022-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW12944",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "II804Z",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICSW",
"identifier": "124521",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.