Individual provider Active NPI

David Bryan Schroeder, LPC, PHD, CRC

  • Clinical Social Worker
  • Lubbock, TX
National Provider Identifier
1881651776
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
77721 Issued in TX
Practice address
3601 4TH Street
Mail Stop 6225
Lubbock, TX 79430-6225
Phone
(806) 743-2592
Fax
(806) 743-3244
NPI assigned
Apr 26, 2006
Last updated
Jun 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 77721 TX
Social Worker 104100000X 6801066144 MI
Clinical Social Worker 1041C0700X 77721 TX Primary

Addresses

Primary practice location

3601 4TH Street
Mail Stop 6225
Lubbock, TX 79430-6225

Mailing address

PO Box 27476
Salt Lake City, UT 84127-0476
Phone (806) 743-2898

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address david.Schroeder@direct.myteamcare.com
SOAP URL LUBBOCK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240212001084 TX Practitioner - Mental Health Counselor 0941643555 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
77721TXMDProfessional Counselor
6801066144MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Jan 1, 2024 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Jan 1, 2024 Accepting new patients

Locations

3601 4th St
#3A250
Lubbock, TX 79430
Phone (806) 743-2018

3601 4th St
Stop 6225
Lubbock, TX 79430
Phone (806) 743-4208

4000 24th St
#410
Lubbock, TX 79410
Phone (806) 743-7700

Interoperability endpoints

  • Direct secure messaging: david.schroeder@direct.myteamcare.com

Organizations & group practices 4

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1881651776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27476",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270476",
            "telephone_number": "806-743-2898",
            "fax_number": "806-743-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 4TH STREET",
            "address_2": "MAIL STOP 6225",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794306225",
            "telephone_number": "806-743-2592",
            "fax_number": "806-743-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "DAVID",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "LPC, PHD, CRC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77721",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801066144",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "77721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.Schroeder@direct.myteamcare.com",
            "affiliation": "N",
            "address_1": "3601 4th Street",
            "address_2": "Mail Stop 6225",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794306225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "LUBBOCK",
            "affiliation": "N",
            "address_1": "3601 4th Street",
            "address_2": "Mail Stop 6225",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794306225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.