Bryan G Shultz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

205436 Issued in MA

Practice address

7 Summer St
Suite 19
Chelmsford, MA 01824-3076

Phone

(978) 256-1444

Fax

(978) 441-1773

NPI assigned

Aug 3, 2010

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Bridgewell Counseling Services

  • Community/Behavioral Health Agency
  • Chelmsford, MA
  • NPI 1326469867
  NPD (past)

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1922312784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SUMMER ST",
            "address_2": "SUITE 19",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243076",
            "telephone_number": "978-256-1444",
            "fax_number": "978-441-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SUMMER ST",
            "address_2": "SUITE 19",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243076",
            "telephone_number": "978-256-1444",
            "fax_number": "978-441-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "BRYAN",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "205436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Svetlana Shimberg, NP
• Jessica Ships, OD
• Rebecca C Shore, M.D.
• Jeff Shu, D.M.D.
• Daniel Shulman, BCBA
• Beshoy Ramses Sidhom, MD
• Karen W Siegel, MSW LICSW
• Ann Marie Sigdestad, LICSW
• Francheyska Silfa Mazara, M.D.
• Alexa Silva

• Clinical Social Worker in Chelmsford, MA
• Providers in Chelmsford, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.