Active NPI
Kristy Ann Pierce-Schultz, LCSW
- Clinical Social Worker
- Streator, IL
National Provider Identifier
1740541366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.013854
- Practice address
- 202 S Vermillion St
Streator, IL 61364-4417 - Phone
- (815) 672-1802
- Fax
- (815) 672-1860
- NPI assigned
- May 30, 2012
- 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 | 149.013854 | IL | Primary |
Addresses
Primary practice location
202 S Vermillion St
Streator, IL 61364-4417
Mailing address
125 S Vermillion St
Ste 12
Streator, IL 61364-2982
Phone (815) 672-1802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471910400000",
"number": "1740541366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 S VERMILLION ST",
"address_2": "STE 12",
"city": "STREATOR",
"state": "IL",
"postal_code": "613642982",
"telephone_number": "815-672-1802",
"fax_number": "815-672-1860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 S VERMILLION ST",
"city": "STREATOR",
"state": "IL",
"postal_code": "613644417",
"telephone_number": "815-672-1802",
"fax_number": "815-672-1860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE-SCHULTZ",
"first_name": "KRISTY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-30",
"last_updated": "2016-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.013854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Streator, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.