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MR. JOHN R SCHMIDT LCSW
NPI 1114034493
Social Worker - Clinical in Manitowoc, WI

Active since August 24, 2006PECOS EnrolledAccepts Medicare Assignment
1425 MEMORIAL DR, MANITOWOC, WI 54221(920) 683-9500(920) 683-9588 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. John R Schmidt Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHN R SCHMIDT LCSW (NPI 1114034493) is an individual clinical provider in Manitowoc, Wisconsin, licensed in Wisconsin (6971-123) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1114034493
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JOHN R SCHMIDTCredential: LCSW
Location Address1425 MEMORIAL DRManitowoc, WI 54221-0400
Mailing Address3301 W Forest Home AveMilwaukee, WI 53215-2843 · (414) 647-6326 · Fax (414) 671-8860
Phone(920) 683-9500
Fax(920) 683-9588
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 24, 2006
Last NPPES UpdateDecember 8, 2021
NPPES CertifiedDecember 8, 2021
✔ NPI 1114034493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 6971-123
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1425 MEMORIAL DR, Manitowoc, WI 54221
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Other Identifiers 1

Medicaid39790400WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. John R Schmidt Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103835962
PECOS Enrollment IDI20060406000456
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
74 services21 patients
Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
33 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54221 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KAREN A BERGE LCSW
Social Worker (Clinical)
1425 MEMORIAL DR
MANITOWOC, WI 54221
Manitowoc County (920) 683-9500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Schmidt's NPI number?

The NPI number for John Schmidt is 1114034493. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is John Schmidt located?

John Schmidt practices at 1425 Memorial Dr, Manitowoc, WI 54221. The listed phone number is (920) 683-9500.

What is John Schmidt's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is John Schmidt enrolled in Medicare?

Yes. John Schmidt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Schmidt accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Medica and 2 other insurers list John Schmidt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Schmidt was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.