Individual provider Active NPI

Wendy Marie Schill, LCSW 20861

  • Social Worker
  • Palm Desert, CA
National Provider Identifier
1912102757
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCS 20861 Issued in CA
Practice address
77564 Country Club Dr Ste 410
Palm Desert, CA 92211-6252
Phone
(760) 898-3512
Fax
(760) 890-6040
NPI assigned
Jun 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCS 20861 CA Primary

Addresses

Primary practice location

77564 Country Club Dr Ste 410
Palm Desert, CA 92211-6252

Mailing address

79090 Ashley PL
La Quinta, CA 92253-4296
Phone (760) 898-3512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20201201001550 CA Practitioner - Clinical Social Worker 4183035827 Practice locations: Palm Desert, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

77564 Country Club Dr
Suite 410
Palm Desert, CA 92211-6252
Phone (760) 898-3512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 20861CAMDSocial Worker
20861CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of the Desert PastSince Jul 8, 2012 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1912102757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79090 ASHLEY PL",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922534296",
            "telephone_number": "760-898-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77564 COUNTRY CLUB DR STE 410",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116252",
            "telephone_number": "760-898-3512",
            "fax_number": "760-890-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILL",
        "first_name": "WENDY",
        "middle_name": "MARIE",
        "credential": "LCSW 20861",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCS 20861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.