Individual provider Active NPI

Jolena Gaye Schraeder, LCSW

  • Clinical Social Worker
  • Cleburne, TX
National Provider Identifier
1598451155
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
55808 Issued in TX
Practice address
212 N Anglin St
Cleburne, TX 76031-4133
Phone
(817) 873-8858
Fax
(325) 266-9636
NPI assigned
Apr 17, 2023
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 55808 TX Primary

Addresses

Primary practice location

212 N Anglin St
Cleburne, TX 76031-4133

Mailing address

212 N Anglin St
Cleburne, TX 76031-4133
Phone (817) 873-8858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Oct 9, 2024 through Oct 9, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
55808TXMDOncology Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Everyday People Counseling & Therapy, PLLC Clinical CurrentSince Dec 10, 2023 Accepting new patients

Locations

212 N Anglin St
Cleburne, TX 76031
Phone (817) 645-3328

Organizations & group practices 1

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": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1598451155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N ANGLIN ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760314133",
            "telephone_number": "817-873-8858",
            "fax_number": "325-266-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N ANGLIN ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760314133",
            "telephone_number": "817-873-8858",
            "fax_number": "325-266-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAEDER",
        "first_name": "JOLENA",
        "middle_name": "GAYE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

Verify at the official NPI Registry.