Active NPI
Nanci E Schiman, MSW, LCSW
- Clinical Social Worker
- Mequon, WI
National Provider Identifier
1659915379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9660-123
- Practice address
- 11518 N Port Washington Rd Ste 202
Mequon, WI 53092-3443 - Phone
- (262) 244-6177
- Fax
- (262) 299-3040
- NPI assigned
- Nov 6, 2019
- Sex
- Female
- 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 | 9660-123 | WI | Primary |
Addresses
Primary practice location
11518 N Port Washington Rd Ste 202
Mequon, WI 53092-3443
Mailing address
1035 W Glen Oaks LN Ste 110
Mequon, WI 53092-3392
Phone (262) 244-6177
Other practice location 1
11514 N Port Washington Rd
Mequon, WI 53092-3457
Phone (262) 244-6177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100162176 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 18, 2024 through Mar 18, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orenda Counseling Services, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Marriage & Family Therapist
- Mequon, WI
- NPI 1609336106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1659915379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 W GLEN OAKS LN STE 110",
"city": "MEQUON",
"state": "WI",
"postal_code": "530923392",
"telephone_number": "262-244-6177",
"fax_number": "262-299-3040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11518 N PORT WASHINGTON RD STE 202",
"city": "MEQUON",
"state": "WI",
"postal_code": "530923443",
"telephone_number": "262-244-6177",
"fax_number": "262-299-3040"
}
],
"practiceLocations": [
{
"address_1": "11514 N Port Washington Rd",
"address_purpose": "LOCATION",
"city": "Mequon",
"state": "WI",
"postal_code": "530923457",
"country_code": "US",
"telephone_number": "262-244-6177",
"fax_number": "262-299-3040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHIMAN",
"first_name": "NANCI",
"middle_name": "E",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-06",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "9660-123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100162176",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.