Bradley Wayne Schultz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R047052 Issued in NY

Practice address

8 Marion Ave
Suite 6
Cold Spring, NY 10516-2929

Phone

(646) 415-8414

Fax

(646) 290-6047

NPI assigned

Oct 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Southern Dutchess Psychiatric Consultation PLLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Wappingers Falls, NY
  • NPI 1982021440
  NPD (past)

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1700979077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WILLIAM ST",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242722",
            "telephone_number": "646-415-8414",
            "fax_number": "646-290-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MARION AVE",
            "address_2": "SUITE 6",
            "city": "COLD SPRING",
            "state": "NY",
            "postal_code": "105162929",
            "telephone_number": "646-415-8414",
            "fax_number": "646-290-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "BRADLEY",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-01",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R047052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Mark Podell MD PC
• Jennifer Lyn Rotando, P.T.
• Julia Rotando
• Laura Theresa Ryan
• Debora Santos-Watts, RPH
• Lisa Marie Scicluna, CCC-SLP
• John-Roch Stephen Sears, PHARMD
• Eva Margaret Sharpe-Pollock, LCSW
• James Smith, PH.,D.
• Sally A Smith

• All providers in Cold Spring, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.

Verify at the official NPI Registry.