Individual provider Active NPI

Brenda Schmucker, LISW

  • Clinical Social Worker
  • Akron, OH
National Provider Identifier
1609594050
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2103062 Issued in OH
Practice address
611 W Market St
Akron, OH 44303-1411
Phone
(330) 996-4600
NPI assigned
Aug 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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 I.2103062 OH Primary

Addresses

Primary practice location

611 W Market St
Akron, OH 44303-1411

Mailing address

542 Picadilly Cir
Akron, OH 44319-1375
Phone (740) 361-2765

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
I.2103062OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pastoral Counseling Service of Summit Co Inc CurrentSince Aug 28, 2022 Accepting new patients
Pastoral Counseling Service of Summit County PastSince Aug 28, 2022 Accepting new patients

Locations

611 W Market St
Akron, OH 44303
Phone (330) 996-4600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1609594050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 PICADILLY CIR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443191375",
            "telephone_number": "740-361-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443031411",
            "telephone_number": "330-996-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMUCKER",
        "first_name": "BRENDA",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2103062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.