Individual provider Active NPI

Kelli Schuhl, LCSW

  • School Social Worker
  • Amsterdam, NY
National Provider Identifier
1013252329
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
079936-1 Issued in NY
Practice address
11 Liberty St
Amsterdam, NY 12010-4601
Phone
(518) 843-4805
NPI assigned
Nov 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 079936-1 NY
Clinical Social Worker 1041C0700X 079936-1 NY
School Social Worker 1041S0200X 079936-1 NY Primary

Addresses

Primary practice location

11 Liberty St
Amsterdam, NY 12010-4601

Mailing address

15 Vines Rd
Charlton, NY 12019-2708
Phone (518) 399-0756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240910000512 NY Practitioner - Clinical Social Worker 0547700288 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
079936-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Licensed Clinical Social Work, PC Clinical CurrentSince Jul 9, 2024 Accepting new patients

Locations

220 N Ballston Ave
Scotia, NY 12302
Phone (518) 374-3278

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1013252329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 VINES RD",
            "city": "CHARLTON",
            "state": "NY",
            "postal_code": "120192708",
            "telephone_number": "518-399-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 LIBERTY ST",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120104601",
            "telephone_number": "518-843-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUHL",
        "first_name": "KELLI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "079936-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079936-1",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "079936-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

Verify at the official NPI Registry.