Provider Demographics
NPI:1275254484
Name:SCHMIDT, JAMES R JR (BSW, LSW)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:R
Last Name:SCHMIDT
Suffix:JR
Gender:M
Credentials:BSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3613 EBENEZER RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45248-3009
Mailing Address - Country:US
Mailing Address - Phone:513-267-7565
Mailing Address - Fax:
Practice Address - Street 1:8916 FONTAINEBLEAU TER
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-4806
Practice Address - Country:US
Practice Address - Phone:513-728-3700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH00284761041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool