Individual provider Active NPI

Paula Miriam Shulman, LCSW LADC

  • Clinical Social Worker
  • Arlington, VT
National Provider Identifier
1063585701
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089-0000895 Issued in VT
Practice address
2843 VT Route 313 W
Arlington, VT 05250-8926
Phone
(802) 379-5117
Fax
(802) 375-2906
NPI assigned
Nov 17, 2006
Last updated
Sep 30, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 4599 NY
Addiction (Substance Use Disorder) Counselor 101YA0400X 000345 VT
Clinical Social Worker 1041C0700X 089-0000895 VT Primary
Clinical Social Worker 1041C0700X R040644-1 NY

Addresses

Primary practice location

2843 VT Route 313 W
Arlington, VT 05250-8926

Mailing address

PO Box 814
Arlington, VT 05250-0814
Phone (802) 375-2906

Other identifiers 3

IdentifierTypeStateIssuer
0VN3006MedicaidVT
136145OtherNYVALUE OPTIONS
61825OtherVTMVP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031112000195 VT Practitioner - Clinical Social Worker 6709799083 Practice locations: Arlington, VT
I20150324000036 NY Practitioner - Clinical Social Worker 6709799083 Practice locations: Cambridge, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2843 Rte 313
Arlington, VT 05250
Phone (802) 379-5117

PO Box
Suite 814
Arlington, VT 05250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4599NYMDAddiction (Substance Use Disorder) Counselor
000345VTMDAddiction (Substance Use Disorder) Counselor
R040644-1NYMDClinical Social Worker
089-0000895VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Health Systems P.C. Past Accepting new patients
Saratoga Psychiatric and Associated Services PC Clinical Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1063585701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 814",
            "city": "ARLINGTON",
            "state": "VT",
            "postal_code": "052500814",
            "telephone_number": "802-375-2906",
            "fax_number": "802-375-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2843 VT ROUTE 313 W",
            "city": "ARLINGTON",
            "state": "VT",
            "postal_code": "052508926",
            "telephone_number": "802-379-5117",
            "fax_number": "802-375-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULMAN",
        "first_name": "PAULA",
        "middle_name": "MIRIAM",
        "name_prefix": "Ms.",
        "credential": "LCSW  LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "4599",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "000345",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089-0000895",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R040644-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN3006",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "136145",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "61825",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VT

Sources for this page

Verify at the official NPI Registry.