Individual provider Active NPI

Suzzanne Faye Schmidt, LCSW

  • Clinical Social Worker
  • Kirkwood, MO
National Provider Identifier
1790483170
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2014009982 Issued in MO
Practice address
1001 S Kirkwood Rd Ste 100
Kirkwood, MO 63122-7250
Phone
(314) 397-3316
NPI assigned
Feb 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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 2014009982 MO Primary

Addresses

Primary practice location

1001 S Kirkwood Rd Ste 100
Kirkwood, MO 63122-7250

Mailing address

1001 S Kirkwood Rd Ste 100
Kirkwood, MO 63122-7250
Phone (314) 397-3316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20230315001594 MO Practitioner - Clinical Social Worker 1456725423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Adult Psychiatry LLCGroup PAC ID 4688998602, 15 clinicians

Practice addresses (Care Compare)

1001 S Kirkwood Rd
Saint Louis, MO 63122-7254
Phone (314) 543-5980

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Adult Psychiatry, LLC CurrentSince Mar 20, 2023 Accepting new patients

Locations

12125 Conway Rd
Ste 160
Saint Louis, MO 63141
Phone (314) 251-2870

1001 S Kirkwood Rd
Ste 100
Saint Louis, MO 63122
Phone (314) 543-5970

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1790483170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S KIRKWOOD RD STE 100",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631227250",
            "telephone_number": "314-397-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S KIRKWOOD RD STE 100",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631227250",
            "telephone_number": "314-397-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "SUZZANNE",
        "middle_name": "FAYE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2014009982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkwood, MO

Sources for this page

Verify at the official NPI Registry.