Individual provider Active NPI

Amy Schmoll, LCSW, SAC

  • Clinical Social Worker
  • Stevens Point, WI
National Provider Identifier
1851899629
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8673-123 Issued in WI
Practice address
308 Dearborn Ave
Stevens Point, WI 54481-2233
Phone
(920) 284-4369
NPI assigned
Jan 26, 2018
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8673-123 WI Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16201-131 WI

Addresses

Primary practice location

308 Dearborn Ave
Stevens Point, WI 54481-2233

Mailing address

308 Dearborn Ave
Stevens Point, WI 54481-2233

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260218002033 WI Practitioner - Clinical Social Worker 9537649454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

23318 Apple Rd
Waterford, WI 53185-3808

415 W Golf Rd
Arlington Heights, IL 60005-3923

9024 Karlov Ave
Skokie, IL 60076-1716

PO Box
Suite 24146
Omaha, NE 68124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16201-131WIMDAddiction (Substance Use Disorder) Counselor
8673-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Wisconsin LLC CurrentSince Feb 9, 2026 Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

3100 Washington Rd
Kenosha, WI 53144
Phone (262) 658-4039

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": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1851899629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 DEARBORN AVE",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544812233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 DEARBORN AVE",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544812233",
            "telephone_number": "920-284-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMOLL",
        "first_name": "AMY",
        "credential": "LCSW, SAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-26",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8673-123",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16201-131",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

Verify at the official NPI Registry.