Active NPI
Alice R Schumacher, LCSW
- Clinical Social Worker
- Middletown, CT
National Provider Identifier
1255429270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CT000539
- Practice address
- 770 Saybrook Road
Building B
Middletown, CT 06457 - Phone
- (860) 343-6646
- Fax
- (860) 343-5391
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CT000539 | CT | Primary |
Addresses
Primary practice location
770 Saybrook Road
Building B
Middletown, CT 06457
Mailing address
770 Saybrook Road
Building B
Middletown, CT 06457
Phone (860) 343-6646
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140000539CT01 | Other | BCBS | |
| 4264803 | Other | AETNA | |
| 108550 | Other | VALUE OPTIONS | |
| 079582 | Other | MHN | |
| P2743627 | Other | OXFORD |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000539 | CT | MD | Counselor |
| CT000539 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255429270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 SAYBROOK ROAD",
"address_2": "BUILDING B",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "06457",
"telephone_number": "860-343-6646",
"fax_number": "860-343-5391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 SAYBROOK ROAD",
"address_2": "BUILDING B",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "06457",
"telephone_number": "860-343-6646",
"fax_number": "860-343-5391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUMACHER",
"first_name": "ALICE",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "CT000539",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "140000539CT01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4264803",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "108550",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "079582",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2743627",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.