Active NPI
Phyllis M Schadler, MSW
- Clinical Social Worker
- Caledonia, MI
National Provider Identifier
1891916045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801013233
- Practice address
- 9960 Rolling Hills Dr SE
Caledonia, MI 49302 - Phone
- (616) 891-9413
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801013233 | MI | Primary |
Addresses
Primary practice location
9960 Rolling Hills Dr SE
Caledonia, MI 49302
Mailing address
9960 Rolling Hills Dr SE
Caledonia, MI 49302
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6801013233 | Other | MI | STATE LICENSE |
| 8008900680 | Other | MI | BCBS PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Guidance Services | Past | Accepting new patients | |
| Project Rehab | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Social Worker
- Grand Rapids, MI
- NPI 1336185032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489363200000",
"number": "1891916045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9960 ROLLING HILLS DR SE",
"city": "CALEDONIA",
"state": "MI",
"postal_code": "49302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9960 ROLLING HILLS DR SE",
"city": "CALEDONIA",
"state": "MI",
"postal_code": "49302",
"telephone_number": "616-891-9413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHADLER",
"first_name": "PHYLLIS",
"middle_name": "M",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2017-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801013233",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "6801013233",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PIN",
"identifier": "8008900680",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Caledonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.