Blake S Schneider, LCSW, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2007035726 Issued in MO

Practice address

1111 Duff Ave
Ames, IA 50010-5745

Phone

(515) 239-2662

NPI assigned

Aug 5, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• 4 Sight Counseling

  • Professional Counselor
  • Cape Girardeau, MO
  • NPI 1801941455
  NPD (past)
• 4-Sight Counseling, Inc.

  • Community/Behavioral Health Agency
  • Cape Girardeau, MO
  • NPI 1427347871
  NPD (past)

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1982918538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 BEAVER CREST DR",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503103414",
            "telephone_number": "314-456-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 DUFF AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105745",
            "telephone_number": "515-239-2662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2055 Craigshire Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631464012",
            "country_code": "US",
            "telephone_number": "314-737-0020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "BLAKE",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "LCSW, LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-05",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "105997",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2007035726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylee Schlorholtz
• Timothy Schlorholtz, LAT, ATC
• Anita V. Schlosser, MSW
• Nathaniel L Schmidt, PT
• Destinee Rose Schmitz, MD
• Colton Schnetzer
• Keith G Schrag, M.DIV.
• Nichole Schroeder
• Ashley Schulz
• Brittany Lauren Schumacher, ARNP

• Clinical Social Worker in Ames, IA
• Providers in Ames, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.