Healthcare Provider Details

I. General information

NPI: 1508245374
Provider Name (Legal Business Name): ROBERT SCHMIDT LMSW-QIDP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2015
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 UNION ST STE 106
NATICK MA
01760-7700
US

IV. Provider business mailing address

67 UNION ST STE 106
NATICK MA
01760-7700
US

V. Phone/Fax

Practice location:
  • Phone: 781-666-2711
  • Fax: 781-666-2712
Mailing address:
  • Phone: 781-666-2711
  • Fax: 781-666-2712

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLICSW1144987
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: