Individual provider Active NPI

Lisa L Schulz, LCSW-R

  • Clinical Social Worker
  • Binghamton, NY
National Provider Identifier
1811266141
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085261 Issued in NY
Practice address
1121 Upper Front St
Binghamton, NY 13905-1116
Phone
(607) 297-8720
Fax
(607) 204-0632
NPI assigned
Dec 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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 085261 NY Primary

Addresses

Primary practice location

1121 Upper Front St
Binghamton, NY 13905-1116

Mailing address

5 Court St Ste 42
Norwich, NY 13815-1695
Phone (607) 337-1600

Other practice location 1

5 Court St Ste 42
Norwich, NY 13815-1695
Phone (607) 337-1600

Other identifiers 1

IdentifierTypeStateIssuer
1811266141MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170411000717 NY Practitioner - Clinical Social Worker 7719263540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of ChenangoGroup PAC ID 5597658344, 12 clinicians

Practice addresses (Care Compare)

5 Court St
Suite 42
Norwich, NY 13815-1695
Phone (607) 337-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085261NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Chenango Current Accepting new patients
Two Rivers Chiropractic, PC CurrentSince Feb 24, 2021 Accepting new patients
Chenango County County Treasurer CurrentSince Feb 26, 2017 Accepting new patients
County of Chenango CurrentSince Feb 26, 2017 Accepting new patients

Locations

1121 Upper Front St
Binghamton, NY 13905
Phone (607) 297-8720

5 Court St
Ste 42
Norwich, NY 13815
Phone (607) 337-1600

Interoperability endpoints

  • Direct secure messaging: lschulz@ccbhs.medentdirect.com

Organizations & group practices 4

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": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1811266141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 COURT ST STE 42",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151695",
            "telephone_number": "607-337-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 UPPER FRONT ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139051116",
            "telephone_number": "607-297-8720",
            "fax_number": "607-204-0632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Court St Ste 42",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "NY",
            "postal_code": "138151695",
            "country_code": "US",
            "telephone_number": "607-337-1600",
            "fax_number": "607-334-4519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULZ",
        "first_name": "LISA",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-15",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811266141",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.