1518163120 NPI number — MS. REBECCA SCHMITZ M.S.W.

Table of content: MS. REBECCA SCHMITZ M.S.W. (NPI 1518163120)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518163120 NPI number — MS. REBECCA SCHMITZ M.S.W.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHMITZ
Provider First Name:
REBECCA
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.S.W.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518163120
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/20/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
404 W WASHINGTON AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FAIRFIELD
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
52556-3344
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
641-919-5575
Provider Business Mailing Address Fax Number:
641-472-2341

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
408 W HEMPSTEAD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FAIRFIELD
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52556-2571
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
641-929-5575
Provider Business Practice Location Address Fax Number:
641-472-2341
Provider Enumeration Date:
06/21/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  03667 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 03667 . This is a "IOWA SOCIAL WORK LICENSE" identifier , issued by the state of ( IA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com