Individual provider Active NPI

Paul Bernhardt Schneeman, MSW, CADC

  • Clinical Social Worker
  • Jonesville, MI
National Provider Identifier
1649528332
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801094583 Issued in MI
Practice address
110 Reading Ave
Jonesville, MI 49250-1136
Phone
(517) 849-2330
Fax
(517) 849-2906
NPI assigned
Aug 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 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 6801094583 MI Primary

Addresses

Primary practice location

110 Reading Ave
Jonesville, MI 49250-1136

Mailing address

110 Reading Ave
Jonesville, MI 49250-1136
Phone (517) 849-2330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121106000508 MI Practitioner - Clinical Social Worker 6507017233

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

960 E State St
Cassopolis, MI 49031-9339

960 M 60
Cassopolis, MI 49031-9339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801094583MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1649528332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 READING AVE",
            "city": "JONESVILLE",
            "state": "MI",
            "postal_code": "492501136",
            "telephone_number": "517-849-2330",
            "fax_number": "517-849-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 READING AVE",
            "city": "JONESVILLE",
            "state": "MI",
            "postal_code": "492501136",
            "telephone_number": "517-849-2330",
            "fax_number": "517-849-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEEMAN",
        "first_name": "PAUL",
        "middle_name": "BERNHARDT",
        "credential": "MSW, CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-28",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesville, MI

Sources for this page

Verify at the official NPI Registry.