MEDICARE: MS. LAURIE-LYNN DIX SCHMIT MSW

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	6801089864	MI
2	1041C0700X	Clinical Social Worker	22283	AZ

General Provider Information

NPI Number	:	1144527516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAURIE-LYNN DIX SCHMIT MSW

Provider Business Mailing Address
First Line	:	PO BOX 2023
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49501-2023
Country	:	US
Telephone Number	:	616-426-9226
Fax Number	:	616-825-5980

Provider Business Practice Location Address
First Line	:	3101 N CENTRAL AVE STE 183-4728
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85012-2645
Country	:	US
Telephone Number	:	520-200-1660
Fax Number	:	620-636-8512

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

Provider Enumeration Date	:	02/22/2011
Last Update Date	:	02/23/2025

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