MEDICARE: ERIC JOHN SCHMIDT MSSW, LCSW, MBA

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	261QRO4O5X	UT

General Provider Information

NPI Number	:	1649451642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC JOHN SCHMIDT MSSW, LCSW, MBA

Provider Business Mailing Address
First Line	:	2450 E FT UNION BLVD
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-3337
Country	:	US
Telephone Number	:	801-669-5888
Fax Number	:	801-669-5889

Provider Business Practice Location Address
First Line	:	2450 E FT UNION BLVD
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-3337
Country	:	US
Telephone Number	:	801-669-5888
Fax Number	:	801-669-5889

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

Provider Enumeration Date	:	11/18/2007
Last Update Date	:	03/06/2026

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