Individual provider Active NPI

Carolyn Diane Schulze, LCSW

  • Clinical Social Worker
  • Lake City, FL
National Provider Identifier
1609344589
Registry record updated Jan 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15532 Issued in FL
Practice address
260 S Marion Ave Ste 135
Lake City, FL 32025-7000
Phone
(386) 697-8842
Fax
(386) 406-8340
NPI assigned
Nov 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2023

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 SW15532 FL Primary

Addresses

Primary practice location

260 S Marion Ave Ste 135
Lake City, FL 32025-7000

Mailing address

7910 County Road 252
Live Oak, FL 32060-6860
Phone (386) 688-3979

Other practice location 1

7910 County Road 252
Live Oak, FL 32060-6860
Phone (386) 688-3979

Other practice location 2

112 Piedmont St SE
Live Oak, FL 32064-3230
Phone (386) 697-8842

Other names 1

  • Mrs. Carolyn Diane Trumble Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address secure@oohtherapyinfo.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181226001036 FL Practitioner - Clinical Social Worker 5698010494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oasis of Hope Therapy, LLCGroup PAC ID 4880087261, 5 clinicians

Practice addresses (Care Compare)

260 S Marion Ave
Suite 135
Lake City, FL 32025-7000
Phone (386) 697-8842

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis of Hope Therapy LLC CurrentSince Jul 25, 2022 Accepting new patients

Locations

260 S Marion Ave
Ste 135
Lake City, FL 32025
Phone (352) 373-4411

112 Piedmont St SE
Live Oak, FL 32064
Phone (386) 362-6483

Organizations & group practices 1

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": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673654400000",
    "number": "1609344589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 COUNTY ROAD 252",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320606860",
            "telephone_number": "386-688-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S MARION AVE STE 135",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320257000",
            "telephone_number": "386-697-8842",
            "fax_number": "386-406-8340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7910 County Road 252",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "FL",
            "postal_code": "320606860",
            "country_code": "US",
            "telephone_number": "386-688-3979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Piedmont St SE",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "FL",
            "postal_code": "320643230",
            "country_code": "US",
            "telephone_number": "386-697-8842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULZE",
        "first_name": "CAROLYN",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "secure@oohtherapyinfo.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "260 S Marion Ave Ste 135",
            "city": "Lake City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320257000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "TRUMBLE",
            "middle_name": "DIANE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake City, FL

Sources for this page

Verify at the official NPI Registry.