Denise Diane Schmidtmcclintock, MSW LLSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801090173 Issued in MI

Practice address

9067 US Highway 31
Berrien Springs, MI 49103-1664

Phone

(269) 815-5331

Fax

(269) 815-5061

NPI assigned

Mar 10, 2011

Last updated

Mar 10, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Life Coach Psychology

  • Community/Behavioral Health Agency
  • Berrien Springs, MI
  • NPI 1023317161
  NPD (past)

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1740588052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9067 US HIGHWAY 31",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031664",
            "telephone_number": "269-815-5331",
            "fax_number": "269-815-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9067 US HIGHWAY 31",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031664",
            "telephone_number": "269-815-5331",
            "fax_number": "269-815-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDTMCCLINTOCK",
        "first_name": "DENISE",
        "middle_name": "DIANE",
        "credential": "MSW LLSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teela Ruehle, LMSW
• Peter Salib, DR.
• Lynn M. Schafer, M.A.
• Brenda Schalk, RD
• Shelley Schmaltz
• David Herbert Schug, BS RPH
• Kevin Seo, MD
• Robert Sepulveda, LPC
• Kathleen Joann Shafer, LMSW
• Rahul Chaitanya Shah

• Clinical Social Worker in Berrien Springs, MI
• Providers in Berrien Springs, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.