Provider Demographics
NPI:1972168730
Name:SCHMIDT, LAURA (LISW)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:MAPES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:169 GROVE ST RM E
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43040-1342
Mailing Address - Country:US
Mailing Address - Phone:614-937-1859
Mailing Address - Fax:937-528-2761
Practice Address - Street 1:169 GROVE ST RM E
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43040-1342
Practice Address - Country:US
Practice Address - Phone:614-937-1859
Practice Address - Fax:937-528-2761
Is Sole Proprietor?:No
Enumeration Date:2019-05-07
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011031931041C0700X
OHI21027591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical