Active NPI
Simone Schultz, LMHC,LMSW, LPC,CASAC
- Clinical Social Worker
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 104067
- Practice address
- 2222 Flatbush Ave Unit 340152
Brooklyn, NY 11234-4530 - Phone
- (718) 664-4689
- NPI assigned
- Mar 29, 2018
- Last updated
- Sep 25, 2026
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34279 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 119954 | NJ | MD | Professional Counselor |
| PC016002 | PA | MD | Professional Counselor |
| 92074 | TX | MD | Professional Counselor |
| 119954 | NY | MD | Social Worker |
| 9014 | SC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interborough Developmental and Consultation Center, Inc. | Current | Accepting new patients | |
| Harmony Mental Health Counseling Services, P.C. | Professional | Current | Accepting new patients |
| The Fortune Society Inc. | Addiction (Substance Use Disorder) | Past | 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.
-
- Professional Counselor
- Brooklyn, NY
- NPI 1710686282
-
dba LSA Recovery
- Case Management Agency
- Brooklyn, NY
- NPI 1588611842
-
dba IDCC Health Services
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1912867433
-
- Addiction (Substance Use Disorder) Counselor
- Long Island City, NY
- NPI 1235357237
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.