MEDICARE: LAURA SCHMIDT LISW

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	6801103193	MI
2	1041C0700X	Clinical Social Worker	I2102759	OH

General Provider Information

NPI Number	:	1972168730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA SCHMIDT LISW

Provider Business Mailing Address
First Line	:	169 GROVE ST RM E
Second Line	:
City	:	MARYSVILLE
State	:	OH
Zip	:	43040-1342
Country	:	US
Telephone Number	:	614-937-1859
Fax Number	:	937-528-2761

Provider Business Practice Location Address
First Line	:	169 GROVE ST RM E
Second Line	:
City	:	MARYSVILLE
State	:	OH
Zip	:	43040-1342
Country	:	US
Telephone Number	:	614-937-1859
Fax Number	:	937-528-2761

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

Provider Enumeration Date	:	05/07/2019
Last Update Date	:	05/13/2025

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