Dara L Schulbaum, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34005568A Issued in IN

Practice address

5234 Norwaldo Ave
Indianapolis, IN 46220-3450

Phone

(317) 502-5448

NPI assigned

Jun 14, 2006

Last updated

Apr 5, 2017By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1508809567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5234 NORWALDO AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5234 NORWALDO AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203450",
            "telephone_number": "317-502-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULBAUM",
        "first_name": "DARA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005568A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100270530A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Schuetter, PT
• Mary Kay Schuetter, PT, DPT OCS
• Sheila Schuh
• Matthew Schuiling, M.S.
• Courtney Schuiteman, MS, CGC
• Andre P Schuler, MD
• Kayley Ann Schuller
• Scott L Schulman, DPM
• John G Schulte, LCSW
• Rachael Rae Schulte, M.D.

• Clinical Social Worker in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.