Nicole Schroeder, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

8330-123 Issued in WI

Practice address

1716 Fordem Ave
Madison, WI 53704-4604

Phone

(608) 221-3511

Fax

(608) 221-3514

NPI assigned

Dec 21, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nicole Lofthouse Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Children'S Service Society of Wisconsin

  • Clinical Social Worker
  • Madison, WI
  • NPI 1528232386
  NPD (past)
• Platteville Family Resource Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Platteville, WI
  • NPI 1477661692
  NPD (past)

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1932478864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 FORDEM AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044604",
            "telephone_number": "608-221-3511",
            "fax_number": "608-221-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 FORDEM AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044604",
            "telephone_number": "608-221-3511",
            "fax_number": "608-221-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-21",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "8330-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932478864",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "LOFTHOUSE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angela Filauro Schroeder, RDN
• Cayla Julia Schroeder, PT, DPT
• Kristopher M. Schroeder, M.D.
• Mark E Schroeder, MD
• Michelle A Schroeder, DPM
• Sara Ann Schroeder, BA-PSYCHOLOGY
• Sara Beth Schroeder, FNP
• Sherri L Schroeder, MSW, CSAC, CS-IT
• Therese E Schroeder, PA-C
• Amanda Schroedl

• Social Worker in Madison, WI
• Providers in Madison, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.