Individual provider Active NPI

Karen Schulte, L.C.S.W.

  • Clinical Social Worker
  • Oakdale, NY
National Provider Identifier
1487789764
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PRO14695-1 Issued in NY
Practice address
405 Locust Ave
Oakdale, NY 11769-1651
Phone
(631) 567-3320
Fax
(631) 567-3285
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PRO14695-1 NY Primary

Addresses

Primary practice location

405 Locust Ave
Oakdale, NY 11769-1651

Mailing address

46 Hollywood Dr
Oakdale, NY 11769-1941

Other identifiers 1

IdentifierTypeStateIssuer
PRO14695-1OtherNYLICENSE NO.

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

LicenseStateTypeSpecialty
PRO14695-1NYMDClinical Social Worker
014695NYMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Residences and Essential Enterprises, Inc. Past Accepting new patients
Skills Unlimited, Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487789764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 HOLLYWOOD DR",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 LOCUST AVE",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691651",
            "telephone_number": "631-567-3320",
            "fax_number": "631-567-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTE",
        "first_name": "KAREN",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PRO14695-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO.",
            "identifier": "PRO14695-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.