Individual
ANDREW SCHMIDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLMSW
Contact information
Practice address
40 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4304
(616) 456-1443
(616) 732-6392
Mailing address
924 HALL ST SE, GRAND RAPIDS, MI 49507-1940
(513) 288-5119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851116392
MI
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
QMHS
—
Enumeration date
12/03/2017
Last updated
05/23/2023
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