Organization Active NPI

Laurnce Schulman

  • Clinical Social Worker
  • Ponte Vedra Beach, FL
National Provider Identifier
1205395993
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LAURNCE SCHULMAN
Doing business as
Laurence Schulmam LCSW
Practice address
100 Corridor Rd Ste 250
Ponte Vedra Beach, FL 32082-8218
Phone
(904) 607-7773
Fax
(904) 853-6250
NPI assigned
Mar 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Authorized official

Name
Mr. Laurence Schulman I, LCSW
Title
Clinical Director
Phone
(904) 607-7773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

100 Corridor Rd Ste 250
Ponte Vedra Beach, FL 32082-8218

Mailing address

1601 Ocean Dr S Apt 1001
Jacksonville Beach, FL 32250-6343
Phone (904) 607-7773

Other names 1

  • Laurence Schulmam LCSW Doing business as

National Provider Directory

National Provider Directory

Locations

100 Corridor Rd
Ste 250
Ponte Vedra Beach, FL 32082
Phone (904) 607-7773

NPI Registry JSON

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1205395993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 OCEAN DR S APT 1001",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506343",
            "telephone_number": "904-607-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CORRIDOR RD STE 250",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320828218",
            "telephone_number": "904-607-7773",
            "fax_number": "904-853-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURNCE SCHULMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "SCHULMAN",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "904-607-7773",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurence Schulmam LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.