Diane Schrage, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

009098 Issued in CT

Practice address

400 Bayonet St
304
New London, CT 06320-2600

Phone

(860) 443-7505

NPI assigned

Sep 6, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sacred Intelligence

  • Cognitive & Behavioral Psychologist
  • New London, CT
  • NPI 1881977817
  NPD (past)

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

{
    "created_epoch": "1441497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441497600000",
    "number": "1336517465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BAYONET ST",
            "address_2": "304",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063202600",
            "telephone_number": "860-443-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BAYONET ST",
            "address_2": "304",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063202600",
            "telephone_number": "860-443-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAGE",
        "first_name": "DIANE",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-06",
        "last_updated": "2015-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tai Scavetta, MS
• Anne Vivian Schipani, LPC, ATR-BC
• Michael Dean Schlesselman, PHARM.D.
• Christine C. Schneider, ATC
• Kathryn M Schneider, FNP
• Kathleen Schwam, PH.D.
• Sarah W Schwanfelder Shae, MSW
• Dana Schwartz, INTERN
• Misty Scoggins, CRNA
• Sect Mental Health LLC

• Clinical Social Worker in New London, CT
• Providers in New London, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.