Individual provider Active NPI

Donald Schmidt, LCSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1821655804
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R051528-1 Issued in NY
Practice address
61 Forsyth St SW
Atlanta, GA 30303-8931
Phone
(301) 273-4043
NPI assigned
May 24, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2019

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 R051528-1 NY Primary

Addresses

Primary practice location

61 Forsyth St SW
Atlanta, GA 30303-8931

Mailing address

1120 Cobblestone Way
Bogart, GA 30622-3205
Phone (203) 936-7602

Other identifiers 1

IdentifierTypeStateIssuer
R051528-1OtherNYLCSW

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dschmidt@hrsa.gov Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R051528-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS IHS Phoenix CurrentSince Oct 12, 2024 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Oct 12, 2024 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
Irene Benn Medical Center CurrentSince Oct 12, 2024 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients

Locations

12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137

Organizations & group practices 5

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": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1821655804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 COBBLESTONE WAY",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306223205",
            "telephone_number": "203-936-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 FORSYTH ST SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303038931",
            "telephone_number": "301-273-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "DONALD",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R051528-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "R051528-1",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dschmidt@hrsa.gov",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "61 Forsyth St SW",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303038931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.