Individual provider Active NPI

Amber Schmidt, LCSW-C

  • Clinical Social Worker
  • Millersville, MD
National Provider Identifier
1932572963
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19385 Issued in MD
Practice address
1110 Benfield Blvd Ste B
Millersville, MD 21108-2644
Phone
(410) 222-4217
NPI assigned
Nov 13, 2015
Last updated
Dec 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 19385 MD Primary

Addresses

Primary practice location

1110 Benfield Blvd Ste B
Millersville, MD 21108-2644

Mailing address

1110 Benfield Blvd
Suite B
Millersville, MD 21108-2639
Phone (443) 510-3996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20161219002273 MD Practitioner - Clinical Social Worker 5597046102 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19385MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Awaken the Spirit LLC Clinical CurrentSince Mar 31, 2023 Accepting new patients

Locations

9 Newburg Ave
Ste 100
Catonsville, MD 21228
Phone (410) 747-9743

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1932572963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 BENFIELD BLVD",
            "address_2": "SUITE B",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082639",
            "telephone_number": "443-510-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 BENFIELD BLVD STE B",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082644",
            "telephone_number": "410-222-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "AMBER",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersville, MD

Sources for this page

Verify at the official NPI Registry.