Active NPI
Carolyn Diane Schulze, LCSW
- Clinical Social Worker
- Lake City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW15532
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oasis of Hope Therapy LLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lake City, FL
- NPI 1831857945
FL
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.