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NPI Code Detail

MEDICARE: DYLAN SCHMIDT LCSW

MEDICARE: DYLAN SCHMIDT LCSW
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
1101YM0800XMental Health Counselor
21041C0700XClinical Social Worker100425CA

General Provider Information

NPI Number : 1578891321
Entity Type Code : Individual
Provider Name (Legal Business Name) : DYLAN SCHMIDT LCSW
Provider Business Mailing Address
First Line : 651 I ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95814-2400
Country : US
Telephone Number : 916-874-3355
Fax Number :
Provider Business Practice Location Address
First Line : 651 I ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95814-2400
Country : US
Telephone Number : 916-875-7195
Fax Number : 916-875-9709
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2009
Last Update Date : 12/02/2025

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Directions to “ DYLAN SCHMIDT LCSW” Practice Location

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