Individual provider Active NPI

Caroline Schumsky

  • Social Worker
  • Flushing, NY
National Provider Identifier
1194838243
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
00044434 Issued in NY
Practice address
14723 69TH Rd
Flushing, NY 11367-1731
Phone
(917) 439-4397
Fax
(917) 439-4397
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 00044434 NY Primary

Addresses

Primary practice location

14723 69TH Rd
Flushing, NY 11367-1731

Mailing address

14723 69TH Rd
Flushing, NY 11367-1731
Phone (917) 439-4397

Other identifiers 1

IdentifierTypeStateIssuer
00044434MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00044434NYMDSocial Worker
044434NYMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1194838243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14723 69TH RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671731",
            "telephone_number": "917-439-4397",
            "fax_number": "917-439-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14723 69TH RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671731",
            "telephone_number": "917-439-4397",
            "fax_number": "917-439-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMSKY",
        "first_name": "CAROLINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "00044434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00044434",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.