Healthcare Provider Details

I. General information

NPI: 1255006151
Provider Name (Legal Business Name): KATIE I SCHMITZ LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2021
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 SOUTHBROOKE DR
WATERLOO IA
50702-5802
US

IV. Provider business mailing address

3002 KNOKE PL
CEDAR FALLS IA
50613-4734
US

V. Phone/Fax

Practice location:
  • Phone: 319-535-2588
  • Fax:
Mailing address:
  • Phone: 319-504-1119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number106410
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: