Individual provider Active NPI

Simone Schultz, LMHC,LMSW, LPC,CASAC

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1972008027
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104067 Issued in NY
Practice address
2222 Flatbush Ave Unit 340152
Brooklyn, NY 11234-4530
Phone
(718) 664-4689
NPI assigned
Mar 29, 2018
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 119954 NJ
Social Worker 104100000X 119954 NY
Clinical Social Worker 1041C0700X 104067 NY Primary
Mental Health Counselor 101YM0800X 011012 NY
Addiction (Substance Use Disorder) Counselor 101YA0400X 34279 NY
Professional Counselor 101YP2500X PC016002 PA
Professional Counselor 101YP2500X 92074 TX

Addresses

Primary practice location

2222 Flatbush Ave Unit 340152
Brooklyn, NY 11234-4530

Mailing address

2222 Flatbush Ave Unit 340152
Brooklyn, NY 11234-4530
Phone (347) 891-6266

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
I20240314002591 NY Practitioner - Mental Health Counselor 8224482252 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34279NYMDAddiction (Substance Use Disorder) Counselor
119954NJMDProfessional Counselor
PC016002PAMDProfessional Counselor
92074TXMDProfessional Counselor
119954NYMDSocial Worker
9014SCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Interborough Developmental and Consultation Center, Inc. CurrentSince Jan 9, 2026 Accepting new patients
Harmony Mental Health Counseling Services, P.C. Professional CurrentSince Feb 1, 2024 Accepting new patients
The Fortune Society Inc. Addiction (Substance Use Disorder) PastSince Jan 4, 2012 Accepting new patients

Locations

2222 Flatbush Ave
Unit 340152
Brooklyn, NY 11234
Phone (347) 201-0868

1623 Kings Hwy
Brooklyn, NY 11229
Phone (718) 307-6800

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, 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": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1972008027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 FLATBUSH AVE UNIT 340152",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344530",
            "telephone_number": "347-891-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 FLATBUSH AVE UNIT 340152",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344530",
            "telephone_number": "718-664-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "SIMONE",
        "credential": "LMHC,LMSW, LPC,CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "119954",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "119954",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "104067",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011012",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "34279",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC016002",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "92074",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.