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NPI Code Detail

MEDICARE: MS. JAMIE LYNN SCHMIEDER LCSW

MEDICARE: MS. JAMIE LYNN SCHMIEDER 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
11041C0700XClinical Social WorkerLCSW-16818AZ

General Provider Information

NPI Number : 1639987175
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JAMIE LYNN SCHMIEDER LCSW
Provider Business Mailing Address
First Line : 1182 S PENROSE DR
Second Line :
City : GILBERT
State : AZ
Zip : 85296-8808
Country : US
Telephone Number : 520-975-4860
Fax Number :
Provider Business Practice Location Address
First Line : 3512 N HIGLEY RD
Second Line :
City : MESA
State : AZ
Zip : 85215-9713
Country : US
Telephone Number : 602-449-7999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2024
Last Update Date : 12/30/2024

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