Healthcare Provider Details

I. General information

NPI: 1972008027
Provider Name (Legal Business Name): SIMONE SCHULTZ LMHC,LMSW, LPC,CASAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2018
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 FLATBUSH AVE UNIT 340152
BROOKLYN NY
11234-4530
US

IV. Provider business mailing address

2222 FLATBUSH AVE UNIT 340152
BROOKLYN NY
11234-4530
US

V. Phone/Fax

Practice location:
  • Phone: 718-664-4689
  • Fax:
Mailing address:
  • Phone: 347-891-6266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number119954
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number119954
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number104067
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number011012
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number34279
License Number StateNY
# 6
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC016002
License Number StatePA
# 7
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number92074
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: