Individual provider Active NPI

Bobbie Sue Schutter, PHD

  • Clinical Social Worker
  • College Place, WA
National Provider Identifier
1992075253
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
500 S College Ave Unit 241
College Place, WA 99324-0909
Phone
(509) 240-6296
NPI assigned
Jan 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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 Primary

Addresses

Primary practice location

500 S College Ave Unit 241
College Place, WA 99324-0909

Mailing address

500 S College Ave Unit 241
College Place, WA 99324-0909
Phone (509) 240-6296

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
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Life in Bloom Services PLLC Clinical CurrentSince Sep 5, 2023 Accepting new patients

Locations

500 S College Ave
Unit 241
College Place, WA 99324
Phone (509) 240-6296

Interoperability endpoints

  • Direct secure messaging: bobbieschutter@tdh.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1992075253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S COLLEGE AVE UNIT 241",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993240909",
            "telephone_number": "509-240-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S COLLEGE AVE UNIT 241",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993240909",
            "telephone_number": "509-240-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUTTER",
        "first_name": "BOBBIE",
        "middle_name": "SUE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-04",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.