Adriane Shultz, LCSW, CADC, CCS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW023222 Issued in PA

Practice address

1023 Mumma Rd Ste 200
Wormleysburg, PA 17043-1164

Phone

(717) 522-6111

NPI assigned

Oct 28, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Adriane Basarab Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Colonial House, Inc

  • Substance Abuse Rehabilitation Facility
  • York, PA
  • NPI 1174686026
  NPD

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1336803998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 DAPLIN AVE",
            "city": "MARIETTA",
            "state": "PA",
            "postal_code": "175478514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 MUMMA RD STE 200",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431164",
            "telephone_number": "717-522-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "ADRIANE",
        "credential": "LCSW, CADC, CCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "SW135945",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023222",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "SW135945",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIANE",
            "last_name": "BASARAB",
            "credential": "LSW, CADC, CCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rico Rosa
• Sage Integrative Medicine & Wellness
• Taylor Savastano, RBT
• Jennifer Sawyer
• Torrey R Schmidt, DO
• Reaghan Shumberger, RBT
• Amber Smith
• Heidi Smith
• Jamie J Smith, CRNP
• Lisa Smith

• Clinical Social Worker in Wormleysburg, PA
• Providers in Wormleysburg, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.