Active NPI
Kenneth V Schmidt, LCSW
- Clinical Social Worker
- Hartford, WI
National Provider Identifier
1629326012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8041-123
- Practice address
- 112 Peace Lutheran Pkwy
Hartford, WI 53027-1159 - Phone
- (800) 438-1772
- Fax
- (262) 293-9737
- NPI assigned
- Aug 16, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 8041-123 | WI | Primary |
Addresses
Primary practice location
112 Peace Lutheran Pkwy
Hartford, WI 53027-1159
Mailing address
W175N11120 Stonewood Dr
Germantown, WI 53022-6511
Phone (800) 438-1772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisconsin Lutheran Child & Family Service Inc | Clinical | Current | Accepting new patients |
| Wisconsin Lutheran Child and Family Service Inc | Clinical | Current | Accepting new patients |
Locations
W175N11120 Stonewood Dr
Germantown, WI 53022
Phone (262) 345-5533
9555 S Howell Ave
Oak Creek, WI 53154
Phone (262) 345-5560
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Germantown, WI
- NPI 1083786628
Clinical
-
- Clinical Social Worker
- Hartford, WI
- NPI 1386713097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476662400000",
"number": "1629326012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W175N11120 STONEWOOD DR",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530226511",
"telephone_number": "800-438-1772",
"fax_number": "262-293-9737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 PEACE LUTHERAN PKWY",
"city": "HARTFORD",
"state": "WI",
"postal_code": "530271159",
"telephone_number": "800-438-1772",
"fax_number": "262-293-9737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "KENNETH",
"middle_name": "V",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-16",
"last_updated": "2016-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "8041-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, WI
- Schaefer & Associates Management LLC
- Schepp Family Chiropractic LLC
- Paul J Scheunemann, D.D.S.
- Schimp Chiropractic Office LTD
- David James Schimp, DC, DACNB, DAAPM
- Nicole Marie Schmidt
- Alissa Marie Schneider, MS, CCC-SLP
- Bertram M Schneider, C.AC
- School District of Hartford JT. 1
- Michael Schraufnagel
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.