Active NPI
Angel J Schultz, LCSW, LCDP, CPRS
- Clinical Social Worker
- Cranston, RI
National Provider Identifier
1982242483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW03268
- Practice address
- 178 Norwood Ave
Cranston, RI 02905-3923 - Phone
- (401) 422-9065
- Fax
- (401) 921-1415
- NPI assigned
- Dec 16, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDP00825 | RI | |
| Clinical Social Worker | 1041C0700X | RI | ||
| Clinical Social Worker | 1041C0700X | CSW03268 | RI | Primary |
Addresses
Primary practice location
178 Norwood Ave
Cranston, RI 02905-3923
Mailing address
178 Norwood Ave
Cranston, RI 02905-3923
Phone (401) 422-9065
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDP00825 | RI | MD | Addiction (Substance Use Disorder) Counselor |
| CSW03268 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Addiction Recovery Institute | Past | Accepting new patients | |
| Addiction Recovery Institute-South | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Pawtucket, RI
- NPI 1053474213
-
- Community/Behavioral Health Agency
- Warwick, RI
- NPI 1265595433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1982242483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "178 NORWOOD AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029053923",
"telephone_number": "401-422-9065",
"fax_number": "401-921-1415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 NORWOOD AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029053923",
"telephone_number": "401-422-9065",
"fax_number": "401-921-1415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "ANGEL",
"middle_name": "J",
"credential": "LCSW, LCDP, CPRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-16",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "RI",
"license": "CDP00825",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "CSW03268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.