Taylor Elizabeth Schultz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

091023 Issued in NY

Practice address

646 Main St Ste 102
Port Jefferson, NY 11777-2230

Phone

(631) 772-9395

NPI assigned

Sep 24, 2018

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Conscious Psychotherapy LCSW PC

  • Clinical Social Worker
  • East Setauket, NY
  • NPI 1912601725
  NPD (past)
• South Shore Psychological Care P.C.

  • Clinical Psychologist
  • East Moriches, NY
  • NPI 1144559881
  NPD (past)

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646524800000",
    "number": "1447734512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 MAIN ST STE 102",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 MAIN ST STE 102",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772230",
            "telephone_number": "631-772-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "TAYLOR",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2022-03-06",
        "certification_date": "2022-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Schnell, LMT
• Alegra Schoenbrot
• Heidi N Schrader, NP
• Caroline Rockwood Schueren, AU.D.
• Scott Louis Schultz
• Terence Joseph Schulz, MA CCC-A
• Genine Schwinge
• Michele N Scomello, ANP-C
• Christian Adam Scott, LCSW
• Christina Scott, DPT

• Clinical Social Worker in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.