Individual provider Active NPI

Jessica Schmidt, LICSW

  • Clinical Social Worker
  • Birmingham, AL
National Provider Identifier
1740850254
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4748C Issued in AL
Practice address
1034 23Rd St S Ste 102
Birmingham, AL 35205-2462
Phone
(205) 300-4511
NPI assigned
Jun 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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 4748C AL Primary

Addresses

Primary practice location

1034 23Rd St S Ste 102
Birmingham, AL 35205-2462

Mailing address

763 Montclair Rd Apt F
Birmingham, AL 35213-1922
Phone (205) 300-4511

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jschmidt@thrivetrauma.com Health Information Exchange (HIE)

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
4748CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Ada Services PastSince Jul 4, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jschmidt@thrivetrauma.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1740850254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 MONTCLAIR RD APT F",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131922",
            "telephone_number": "205-300-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 23RD ST S STE 102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052462",
            "telephone_number": "205-300-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "JESSICA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4748C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jschmidt@thrivetrauma.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1034 23rd St S Ste 102",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352052462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.