| Susan G Schmitz, Lisw, Inc | |
|
1150 5th St Ste 261 Coralville IA 52241-2914 | |
| (319) 354-0786 | |
| Not Available |
| Full Name | Susan G Schmitz, Lisw, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 1150 5th St Ste 261, Coralville, Iowa |
| Authorized Official Name and Position | Susan G Schmitz (PRESIDENT/OWNER) |
| Authorized Official Contact | 3193540786 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan G Schmitz, Lisw, Inc 1150 5th St Ste 261 Coralville IA 52241-2914 Ph: (319) 354-0786 | Susan G Schmitz, Lisw, Inc 1150 5th St Ste 261 Coralville IA 52241-2914 Ph: (319) 354-0786 |
| NPI Number | 1386698587 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 05/28/2010 |
| Medicare PECOS PAC ID | 3274545744 |
|---|---|
| Medicare Enrollment ID | O20060627000163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386698587 | NPI | - | NPPES |
| 473130000 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 02299 (Iowa) | Primary |
| Provider Name | Susan G Schmitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437159928 PECOS PAC ID: 9335160464 Enrollment ID: I20051215000891 |
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