Individual provider Active NPI

Renee Lynne Schulze, LCSW

  • Clinical Social Worker
  • Newbury, VT
National Provider Identifier
1740408988
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089-0000934 Issued in VT
Practice address
4628 Main Street
Newbury, VT 05051
Phone
(802) 299-7654
Fax
(802) 866-3012
NPI assigned
Apr 23, 2007
Last updated
Mar 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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 089-0000934 VT Primary

Addresses

Primary practice location

4628 Main Street
Newbury, VT 05051

Mailing address

2111 Route 302
Wells River, VT 05081-9738
Phone (802) 757-2222

Other identifiers 2

IdentifierTypeStateIssuer
1011218MedicaidVT
30426251MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20071204000469 VT Practitioner - Clinical Social Worker 7810086550 Practice locations: Newbury, VT; Wells River, VT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14 Creamery St
Suite 2
Wells River, VT 05081-3001
Phone (802) 299-7654

4628 Main St S
FL 2
Newbury, VT 05051-9712
Phone (802) 299-7654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089-0000934VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Renee Lynne Schulze Clinical PastSince Jun 30, 2016 Accepting new patients

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, 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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1740408988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 ROUTE 302",
            "city": "WELLS RIVER",
            "state": "VT",
            "postal_code": "050819738",
            "telephone_number": "802-757-2222",
            "fax_number": "802-866-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4628 MAIN STREET",
            "city": "NEWBURY",
            "state": "VT",
            "postal_code": "05051",
            "telephone_number": "802-299-7654",
            "fax_number": "802-866-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULZE",
        "first_name": "RENEE",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089-0000934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011218",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30426251",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury, VT

Sources for this page

Verify at the official NPI Registry.