Healthcare Provider Details

I. General information

NPI: 1356271415
Provider Name (Legal Business Name): CHRISTINA SCHULZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 RICHMOND SQ STE 103K
PROVIDENCE RI
02906-5166
US

IV. Provider business mailing address

122 PARKSIDE DR
WARWICK RI
02888-4646
US

V. Phone/Fax

Practice location:
  • Phone: 401-728-1800
  • Fax: 401-600-0098
Mailing address:
  • Phone: 917-596-2879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW04415
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: