Organization Active NPI

Kristen Schultz LCSW LLC

  • Clinical Social Worker
  • Orange, CT
National Provider Identifier
1982373759
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KRISTEN SCHULTZ LCSW LLC
Practice address
129 Buttonball Rd
Orange, CT 06477-1802
Phone
(718) 986-7182
NPI assigned
Sep 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Authorized official

Name
Kristen Schultz, LCSW
Title
Therapist
Phone
(718) 986-7182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

129 Buttonball Rd
Orange, CT 06477-1802

Mailing address

129 Buttonball Rd
Orange, CT 06477-1802
Phone (718) 986-7182

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1982373759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 BUTTONBALL RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064771802",
            "telephone_number": "718-986-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 BUTTONBALL RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064771802",
            "telephone_number": "718-986-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN SCHULTZ LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "718-986-7182",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.