Individual provider Active NPI

Emilie Elyse Schulze, LICSW

  • Clinical Social Worker
  • Moulton, AL
National Provider Identifier
1407573348
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5149C Issued in AL
Practice address
358 County Road 110
Moulton, AL 35650-6808
Phone
(302) 893-1881
NPI assigned
Oct 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5149C AL Primary

Addresses

Primary practice location

358 County Road 110
Moulton, AL 35650-6808

Mailing address

358 County Road 110
Moulton, AL 35650-6808
Phone (302) 893-1881

Other practice location 1

7540 Memorial Pkwy SW Ste W
Huntsville, AL 35802-2208
Phone (256) 824-9171

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

LicenseStateTypeSpecialty
5149CALMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1407573348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 COUNTY ROAD 110",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356506808",
            "telephone_number": "302-893-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 COUNTY ROAD 110",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356506808",
            "telephone_number": "302-893-1881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7540 Memorial Pkwy SW Ste W",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358022208",
            "country_code": "US",
            "telephone_number": "256-824-9171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULZE",
        "first_name": "EMILIE",
        "middle_name": "ELYSE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "5149C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moulton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.