Active NPI
Brooke Amber Schultz, MSW, LICSW
- Clinical Social Worker
- Saint Paul, MN
National Provider Identifier
1346466992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16410
- Practice address
- 190 5TH St E
Ste 100
Saint Paul, MN 55101-2666 - Phone
- (651) 389-4690
- Fax
- (651) 389-4691
- NPI assigned
- Apr 18, 2007
- 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 | 16410 | MN | Primary |
Addresses
Primary practice location
190 5TH St E
Ste 100
Saint Paul, MN 55101-2666
Mailing address
400 Sibley St
Ste 500
Saint Paul, MN 55101-1941
Phone (651) 256-1260
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16410 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Metro Human Services | Clinical | Past | Accepting new patients |
| South Metro Human Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Case Management Agency
- Saint Paul, MN
- NPI 1417021429
-
- Clinical Social Worker
- Saint Paul, MN
- NPI 1578642757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1346466992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 SIBLEY ST",
"address_2": "STE 500",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551011941",
"telephone_number": "651-256-1260",
"fax_number": "651-256-1272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 5TH ST E",
"address_2": "STE 100",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551012666",
"telephone_number": "651-389-4690",
"fax_number": "651-389-4691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "BROOKE",
"middle_name": "AMBER",
"name_prefix": "Ms.",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "16410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.