Individual provider Active NPI

Cristy Lynn Schroeder, LMSW

  • Social Worker
  • Payette, ID
National Provider Identifier
1841820131
Registry record updated Jan 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
36802 Issued in ID
Practice address
501 N 16TH St Ste 111
Payette, ID 83661-2782
Phone
(208) 642-6160
NPI assigned
Jan 25, 2020
Last updated
Jan 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 36802 ID
Social Worker 104100000X 36802 ID Primary

Addresses

Primary practice location

501 N 16TH St Ste 111
Payette, ID 83661-2782

Mailing address

501 N 16TH St Ste 111
Payette, ID 83661-2782
Phone (208) 642-6160

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Cschroeder@efspfs.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20200605002247 ID Practitioner - Clinical Social Worker 8820419476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Services TreatmentGroup PAC ID 4486076791, 2 clinicians

Practice addresses (Care Compare)

2031 E Quail Run Rd
Emmett, ID 83617-5059
Phone (208) 365-2525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Services Treatment Mental Health CurrentSince May 1, 2020 Accepting new patients
Family Services Treatment PastSince Dec 24, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cschroeder@efspfs.com

Organizations & group practices 2

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": "1579910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579910400000",
    "number": "1841820131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N 16TH ST STE 111",
            "city": "PAYETTE",
            "state": "ID",
            "postal_code": "836612782",
            "telephone_number": "208-642-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N 16TH ST STE 111",
            "city": "PAYETTE",
            "state": "ID",
            "postal_code": "836612782",
            "telephone_number": "208-642-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "CRISTY",
        "middle_name": "LYNN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-25",
        "last_updated": "2020-01-25",
        "certification_date": "2020-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "36802",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "36802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Cschroeder@efspfs.com",
            "affiliation": "N",
            "address_1": "501 N 16th St Ste 111",
            "city": "Payette",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836612782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Payette, ID

Sources for this page

Verify at the official NPI Registry.