NPI Code Detail JSON Logo

1609344589 NPI number — CAROLYN DIANE SCHULZE LCSW

NPI Number: 1609344589
Health Care Provider/Practitioner: CAROLYN DIANE SCHULZE LCSW

Information about “1609344589” NPI (CAROLYN DIANE SCHULZE LCSW) exists in 1609344589 in HTML format HTML  |  1609344589 in plain Text format TXT  |  1609344589 in PDF (Portable Document Format) PDF  |  1609344589 in an XML format XML  formats.

NPI Number : 1609344589 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609344589",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCHULZE",
    "FirstName": "CAROLYN",
    "MiddleName": "DIANE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TRUMBLE",
    "OtherFirstName": "CAROLYN",
    "OtherMiddleName": "DIANE",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "7910 COUNTY ROAD 252",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LIVE OAK",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32060-6860",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "386-688-3979",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "260 S MARION AVE STE 135",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAKE CITY",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32025-7000",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "386-697-8842",
    "PracticeLocationAddressFaxNumber": "386-406-8340",
    "EnumerationDate": "11/08/2018",
    "LastUpdateDate": "01/14/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "SW15532",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.