Individual provider Active NPI

Lisa Schwierjohn, LCSW

  • Clinical Social Worker
  • Saint Paul, MO
National Provider Identifier
1972362564
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2023005045 Issued in MO
Practice address
107 Riverfrost CT
Saint Paul, MO 63366-1972
Phone
(636) 443-5434
NPI assigned
Mar 15, 2024
Last updated
Mar 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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 2023005045 MO Primary

Addresses

Primary practice location

107 Riverfrost CT
Saint Paul, MO 63366-1972

Mailing address

107 Riverfrost CT
Saint Paul, MO 63366-1972
Phone (636) 443-5434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20240427000968 MO Practitioner - Clinical Social Worker 9537509385 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023005045MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health, Inc Clinical CurrentSince Apr 22, 2024 Accepting new patients
Compass Health, Inc CurrentSince Apr 22, 2024 Accepting new patients

Locations

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

1800 Community
#B
Clinton, MO 64735

19515 Brune Pkwy
Warrenton, MO 63383
Phone (636) 235-4049

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, 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": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1972362564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 RIVERFROST CT",
            "city": "SAINT PAUL",
            "state": "MO",
            "postal_code": "633661972",
            "telephone_number": "636-443-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 RIVERFROST CT",
            "city": "SAINT PAUL",
            "state": "MO",
            "postal_code": "633661972",
            "telephone_number": "636-443-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWIERJOHN",
        "first_name": "LISA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2023005045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MO

Sources for this page

Verify at the official NPI Registry.