Organization Active NPI

Renee Lynne Schulze

Doing business as Newbury Family Counseling Services

  • Clinical Social Worker
  • Newbury, VT
National Provider Identifier
1447608146
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1114 Issued in NH
Legal business name
RENEE LYNNE SCHULZE
Doing business as
Newbury Family Counseling Services
Practice address
4628 Main St S
Newbury, VT 05051-9712
Phone
(802) 299-7654
NPI assigned
Jun 3, 2016
Last updated
Jun 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Authorized official

Name
Mrs. Renee Lynne Schulze, LICSWNPI 1740408988
Title
Licensed Clinical Social Worker
Phone
(802) 299-7654

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1114 NH Primary

Addresses

Primary practice location

4628 Main St S
Newbury, VT 05051-9712

Mailing address

2111 Route 302
Wells River, VT 05081-9738
Phone (802) 299-7654

Other identifiers 4

IdentifierTypeStateIssuer
089-0000934OtherVTVT LICSW
1011218MedicaidVT
3071684MedicaidNH
59019OtherVTBOARD CERTIFICATION

Other names 1

  • Newbury Family Counseling Services Doing business as

National Provider Directory

National Provider Directory

Locations

4628 Main St S
Newbury, VT 05051
Phone (802) 866-3000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1447608146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 ROUTE 302",
            "city": "WELLS RIVER",
            "state": "VT",
            "postal_code": "050819738",
            "telephone_number": "802-299-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4628 MAIN ST S",
            "city": "NEWBURY",
            "state": "VT",
            "postal_code": "050519712",
            "telephone_number": "802-299-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE LYNNE SCHULZE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "SCHULZE",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "802-299-7654",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VT LICSW",
            "identifier": "089-0000934",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011218",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3071684",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFICATION",
            "identifier": "59019",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newbury Family Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newbury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.