Active NPI
Jennifer Nicole Schulte, MSW, LCSW
- Clinical Social Worker
- Hollister, MO
National Provider Identifier
1912190224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2021008475
- Practice address
- 33 Gage Dr Ste 100
Hollister, MO 65672-5862 - Phone
- (417) 337-9554
- NPI assigned
- Aug 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2018038096 | MO | |
| Clinical Social Worker | 1041C0700X | 2021008475 | MO | Primary |
Addresses
Primary practice location
33 Gage Dr Ste 100
Hollister, MO 65672-5862
Mailing address
1300 E Bradford Pkwy
Springfield, MO 65804-4264
Phone (417) 761-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490063471 | Medicaid | MO |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018038096 | MO | MD | Clinical Social Worker |
| 2021008475 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1912190224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 E BRADFORD PKWY",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658044264",
"telephone_number": "417-761-5000",
"fax_number": "417-761-5065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 GAGE DR STE 100",
"city": "HOLLISTER",
"state": "MO",
"postal_code": "656725862",
"telephone_number": "417-337-9554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTE",
"first_name": "JENNIFER",
"middle_name": "NICOLE",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-20",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2018038096",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2021008475",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "490063471",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hollister, MO
- Melonie Renee Roberts, FNP-BC
- Roller Enterprises LLC
- John Orville Roller, D.P.M.
- RPCS, Inc.
- School Dist R5 Hollister
- Serc Rehabilitation Partners LLC
- Skaggs Community Hospital Association
- Skaggs Community Hospital Association
- Skaggs Community Hospital Association
- Skaggs Community Hospital Association
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.