Individual provider Active NPI

Angeline Rae Schuller, JD, LCSW

  • Clinical Social Worker
  • Merrillville, IN
National Provider Identifier
1629527387
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34008018A Issued in IN
Practice address
8973 Broadway
Merrillville, IN 46410-7039
Phone
(219) 484-2229
NPI assigned
Sep 22, 2016
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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 34008018A IN Primary

Addresses

Primary practice location

8973 Broadway
Merrillville, IN 46410-7039

Mailing address

8973 Broadway
Merrillville, IN 46410-7039
Phone (219) 484-2229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20181016000399 IN Practitioner - Clinical Social Worker 7719239011

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 55107
Indianapolis, IN 46205

PO Box
Suite 55107
Indianapolis, IN 46205-0107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Juris Doctor

State licenses

LicenseStateTypeSpecialty
34008018AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Greenhouse and Associates Inc. Past Accepting new patients
Compassionate Clinical Counseling Social Worker Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: angeline.schuller.p1@direct.northshorehealth.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1629527387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8973 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107039",
            "telephone_number": "219-484-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8973 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107039",
            "telephone_number": "219-484-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULLER",
        "first_name": "ANGELINE",
        "middle_name": "RAE",
        "credential": "JD, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008018A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.