STEPHEN GREGORY SCHROUDER – Clinical Social Worker, NPI 1396518544

STEPHEN GREGORY SCHROUDER is a healthcare provider. based in Novi, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 6801086790 (MI). The NPI Number for STEPHEN GREGORY SCHROUDER is 1396518544

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN GREGORY SCHROUDER
NPI
1396518544
Phone
(877) 906-9699
Address
39465 W 14 MILE RD
Enumeration Date
31 October 2023
Last Update Date
31 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2694281111
Graduation Year
2003 (23 years ago)
PAC ID
3779939384
Group Practice PAC ID
0840503652
Professional Enrollment ID
I20231101003507
Address ID
MI490858630SA3905XPATH300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

4,820 CLINICAL SOCIAL WORKER in MI

Provider Addresses for STEPHEN GREGORY SCHROUDER

  • 39465 W 14 MILE RD

    NOVI, MI 483771600

    Phone: (877) 906-9699

    Fax: (888) 483-0118

    Type: Location

  • 1561 TEXAS ST NW

    GRAND RAPIDS, MI 495441760

    Phone: (616) 745-3650

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231101003507IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes2819$0
90837Psychotherapy, 1 hour2517$0
90832Psychotherapy, 30 minutes1511$0
View full utilization report →

Insurance plans in this area (ZIP 48377)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840503652View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical PsychologistMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical PsychologistMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What NPI should I save for STEPHEN GREGORY SCHROUDER?
Save NPI 1396518544 if you need a stable reference for STEPHEN GREGORY SCHROUDER.
Is STEPHEN GREGORY SCHROUDER's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does STEPHEN GREGORY SCHROUDER work in?
You can think of STEPHEN GREGORY SCHROUDER as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is STEPHEN GREGORY SCHROUDER's primary listing?
We display Novi, Michigan because that is what the record indicates for STEPHEN GREGORY SCHROUDER.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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