Randall Allen Schroeder, PHD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW34003052 Issued in IN

Practice address

4850 E Main St
Carmel, IN 46033-9818

Phone

(260) 348-8777

NPI assigned

Sep 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673654400000",
    "number": "1992897334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 E MAIN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460339818",
            "telephone_number": "260-348-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 E MAIN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460339818",
            "telephone_number": "260-348-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "RANDALL",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "LMFT35000635",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "LCSW34003052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200424360A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy M Schroeder, AUD
• Andrew Paul Schroeder, DO
• Bradley David Schroeder, DO
• Clarissa Nicole Schroeder, FNP-C, DNP
• Jessica Schroeder, RN-BSN
• Taylor K Schub, WHNP
• Matthew C. Schulke, D.C.
• Rebecca Marie Schulke, DC
• Emma Schulte, PA
• Wendy E Schulte, MD

• Clinical Social Worker in Carmel, IN
• Providers in Carmel, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.