MEDICARE: PRISCILLA SCHMITT MSW, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	44SC04601800	NJ

General Provider Information

NPI Number	:	1245637966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRISCILLA SCHMITT MSW, LCSW

Provider Business Mailing Address
First Line	:	31918 RIVER RD
Second Line	:
City	:	ORANGE BEACH
State	:	AL
Zip	:	36561-3767
Country	:	US
Telephone Number	:	908-256-9404
Fax Number	:

Provider Business Practice Location Address
First Line	:	31918 RIVER RD
Second Line	:
City	:	ORANGE BEACH
State	:	AL
Zip	:	36561-3767
Country	:	US
Telephone Number	:	908-256-9404
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/24/2014
Last Update Date	:	03/19/2021

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