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NPI Code Detail

MEDICARE: DEBORAH LYNN SCHMIDT LICSW

MEDICARE: DEBORAH LYNN SCHMIDT LICSW
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
11041C0700XClinical Social Worker21776MN

General Provider Information

NPI Number : 1881578003
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH LYNN SCHMIDT LICSW
Provider Business Mailing Address
First Line : 10000 HWY 55 STE 200
Second Line :
City : PLYMOUTH
State : MN
Zip : 55441-6433
Country : US
Telephone Number : 612-217-2019
Fax Number :
Provider Business Practice Location Address
First Line : 10000 HWY 55 STE 200
Second Line :
City : PLYMOUTH
State : MN
Zip : 55441-6433
Country : US
Telephone Number : 612-217-2019
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2025
Last Update Date : 08/01/2025

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Directions to “ DEBORAH LYNN SCHMIDT LICSW” Practice Location

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