Individual provider Active NPI

Christine Marie Schuler, LICSW

  • Clinical Social Worker
  • Woodstock, CT
National Provider Identifier
1629501283
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006525 Issued in CT
Practice address
70 Laurel Dr
Woodstock, CT 06281-3018
Phone
(860) 810-0763
NPI assigned
Apr 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 006525 CT Primary
Clinical Social Worker 1041C0700X 114692 MA

Addresses

Primary practice location

70 Laurel Dr
Woodstock, CT 06281-3018

Mailing address

70 Laurel Drive
Woodstock, CT 06281
Phone (860) 810-0763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20170815000278 CT Practitioner - Clinical Social Worker 3971494147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

225 Providence Pike
Putnam, CT 06260-2526
Phone (860) 810-0763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114692MAMDClinical Social Worker
006525CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sequis LLC Clinical CurrentSince Aug 14, 2017 Accepting new patients
Compass Health Past Accepting new patients

Locations

225 Providence Pike
Putnam, CT 06260
Phone (860) 420-9141

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": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1629501283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 LAUREL DRIVE",
            "city": "WOODSTOCK",
            "state": "CT",
            "postal_code": "06281",
            "telephone_number": "860-810-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 LAUREL DR",
            "city": "WOODSTOCK",
            "state": "CT",
            "postal_code": "062813018",
            "telephone_number": "860-810-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULER",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006525",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114692",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, CT

Sources for this page

Verify at the official NPI Registry.