Individual provider Active NPI

Brandice Schnabel, MSW, LISW-S

  • Clinical Social Worker
  • North Canton, OH
National Provider Identifier
1750740049
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1100032-SUPV Issued in OH
Practice address
452 N Main St
North Canton, OH 44720-2554
Phone
(330) 510-4921
Fax
(844) 308-5812
NPI assigned
Feb 16, 2016
Last updated
Apr 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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 I.1100032-SUPV OH Primary

Addresses

Primary practice location

452 N Main St
North Canton, OH 44720-2554

Mailing address

PO Box 3051
North Canton, OH 44720-8051
Phone (330) 510-4921

Other identifiers 1

IdentifierTypeStateIssuer
0181343MedicaidOH

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
I.1100032-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sky Witness Healing Arts LLC Clinical 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1750740049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3051",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447208051",
            "telephone_number": "330-510-4921",
            "fax_number": "844-308-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 N MAIN ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447202554",
            "telephone_number": "330-510-4921",
            "fax_number": "844-308-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNABEL",
        "first_name": "BRANDICE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-16",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1100032-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0181343",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.