Healthcare Provider Details

I. General information

NPI: 1396671384
Provider Name (Legal Business Name): CARLA MARIE SCHMITZ LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7537 20TH AVE STE 105
JENISON MI
49428-7702
US

IV. Provider business mailing address

6923 BELFAST AVE SE
GRAND RAPIDS MI
49508-7451
US

V. Phone/Fax

Practice location:
  • Phone: 616-209-8280
  • Fax:
Mailing address:
  • Phone: 616-256-0841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801097911
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: