Active NPI
David Bryan Schroeder, LPC, PHD, CRC
- Clinical Social Worker
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 77721
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77721 | TX | MD | Professional Counselor |
| 6801066144 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | 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 | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | 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
- 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.
-
dba TTUHSC/Anatomical Pathology
- Anatomic Pathology Physician
- Lubbock, TX
- NPI 1063461358
-
dba Ttuhsc - DME
- Durable Medical Equipment & Medical Supplies
- Lubbock, TX
- NPI 1053458026
-
dba TTUHSC/ Neurology
- Neurology Physician
- Lubbock, TX
- NPI 1518916808
-
- Psychiatry Physician
- Lubbock, TX
- NPI 1881643179
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.