Jacob Schuldies, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7895123 Issued in WI

Practice address

6320 Monona Dr
Suite 415
Monona, WI 53716-3952

Phone

(608) 455-6070

Fax

(608) 455-6070

NPI assigned

Jun 3, 2008

Sex

Male

Sole proprietor

No

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

Enrolled in WI

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forward Counseling and Consultation LLCGroup PAC ID 0042668709, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Forward Counseling and Consultation LLC

  • Mental Health Counselor
  • Monona, WI
  • NPI 1487192928
  Medicare reassignment Care Compare group NPD
• McPst Management Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Middleton, WI
  • NPI 1619918877
  Medicare reassignment NPD

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1780843078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 MONONA DR",
            "address_2": "SUITE 415",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163952",
            "telephone_number": "608-455-6070",
            "fax_number": "608-455-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 MONONA DR",
            "address_2": "SUITE 415",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163952",
            "telephone_number": "608-455-6070",
            "fax_number": "608-455-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULDIES",
        "first_name": "JACOB",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7895123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Marie Schmidt, CRC, LPC-IT
• Molly Kaye Schmidt
• Christina Schmoker
• Heather E Schneider, LPC
• Mary T Schoenherr, RN
• Brock Davis Vern Schultz, LPC-IT
• Richard D. Schwichtenberg, LCSW
• Scott L Fenton, PSYD, LLC
• Scott White Chiropractic LLC
• Elizabeth Seeliger

• Clinical Social Worker in Monona, WI
• Providers in Monona, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.