ERIC E. SCHULTZ (NPI# 1023104064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023104064 |
| Entity Type | Individual |
| Full Name | ERIC E. SCHULTZ |
| Credential | LCSW |
| Practice Address |
927 Broadway St Quincy IL 62301-2719 |
| Practice Telephone | 2172244453 |
| Practice Fax Number | 2172249383 |
| Mailing Telephone | 2172244453 |
| Mailing Fax Number | 2172249383 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2016-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149-005316 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 732001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841699881 | Eric Schultz | Registered Nurse | 712 Mulberry St W, Stillwater, MN 55082-4735 | 2014-08-15 |
| 1609974567 | Eric Schultz | Emergency Medicine | 606 Elm St, El Cerrito, CA 94530-3121 | 2006-09-21 |
| 1801450218 | Eric Schultz | Behavior Technician | 7110 Michigan Rd, Bay City, MI 48706-9310 | 2019-05-01 |
| 1255891396 | Eric Michael Schultz | Student in an Organized Health Care Education/Training Program | 216 W 10th Ave Ste 202, Kennewick, WA 99336-6304 | 2019-03-24 |
| 1386146918 | Eric Richard Schultz | Physical Therapist | 4949 Coolidge Hwy, Royal Oak, MI 48073-1026 | 2018-02-28 |
| 1568993707 | Eric Joshua Schultz | Internal Medicine | 1275 York Ave, New York, NY 10065-6007 | 2017-03-21 |
| 1427415520 | Eric Schultz | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2016-01-20 |
| 1629479084 | Eric Schultz | Physician Assistant | 211 N 12th St, Lehighton, PA 18235-1138 | 2014-09-04 |
| 1689930752 | Eric Dean Schultz | Physical Therapist | 111 E Broadway, Suite 340, Columbia, MO 65203-4208 | 2012-04-03 |
| 1578774980 | Eric Daniel Schultz | Allergy & Immunology | 5656 Bee Caves Rd, Suite G201, Austin, TX 78746 | 2007-05-25 |
| Street Address |
927 BROADWAY ST |
| City | QUINCY |
| State | IL |
| Zip Code | 62301-2719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164429957 | Venu Reddy | Internal Medicine | 927 Broadway St, Suite 204, Quincy, IL 62301-2719 | 2005-07-07 |
| 1932716925 | Olivia Louise Patterson | Registered Nurse | 927 Broadway St, Quincy, IL 62301-2719 | 2020-09-24 |
| 1598375727 | Marissa Jo Lumpkin | Behavior Technician | 927 Broadway St, Quincy, IL 62301-2719 | 2020-08-03 |
| 1093347429 | Mandi Nicole Law | Nurse Practitioner | 927 Broadway St, Quincy, IL 62301-2719 | 2020-02-04 |
| 1720618457 | Laura Starman | Nurse Practitioner | 927 Broadway St, Quincy, IL 62301-2719 | 2020-01-22 |
| 1033761234 | Ashley Monita Smith | Social Worker | 927 Broadway St, Quincy, IL 62301-2719 | 2019-07-09 |
| 1659834273 | Debra Anna Derhake | Health Educator | 927 Broadway St, Quincy, IL 62301-2719 | 2019-04-10 |
| 1881157493 | Erin Katharine Vonderhaar | Health Educator | 927 Broadway St, Quincy, IL 62301-2719 | 2019-04-10 |
| 1598228116 | Aleshia Dawn Gerding | Health Educator | 927 Broadway St, Quincy, IL 62301-2719 | 2019-04-10 |
| 1992268510 | Dawn Crabtree | Health Educator | 927 Broadway St, Quincy, IL 62301-2719 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
| 1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1043851488 | West Central Illinois Nutrition | In Home Supportive Care | 639 York St. Room 333, Quincy, IL 62301 | 2019-10-07 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
| 1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
| 1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
| 1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
| Find all providers in zip 62301 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831726165 | Saira Lopes | Social Worker | 17 Greenleaf St Apt 5, Quincy, MA 02169-4443 | 2020-03-25 |
| 1649804931 | Nancy Clarke | Social Worker | 179 Thomas Burgin Pkwy, Quincy, MA 02169-4222 | 2020-02-26 |
| 1922564368 | Arealus Pough | Social Worker | 1 Dunns Hill Rd Apt 4, Quincy, MA 02169-4157 | 2019-02-11 |
| 1730658824 | David S Novak | Social Worker | 81 Albatross Rd, Quincy, MA 02169-2601 | 2018-11-19 |
| 1164991725 | Carrie Little | Social Worker | 207 County Hospital Road Suite 109, Quincy, CA 95971 | 2018-11-13 |
| 1023592748 | Rachel Sonia John | Social Worker | 625 Thomas Burgin Pkwy Apt 419, Quincy, MA 02169-7654 | 2018-09-18 |
| 1013499300 | Elizabeth Robinson | Social Worker | 44 Shea St, Quincy, MA 02169-5840 | 2018-09-03 |
| 1730661190 | Yvonne Ann Roth | Social Worker | 1 Enterprise Drive, Quincy, MA 02171 | 2018-09-03 |
| 1932687985 | Stacey Barker | Social Worker | 11 Copley St, Quincy, MA 02170-3033 | 2018-08-01 |
| 1932686250 | Lee-anne Jacobs | Social Worker | 100 Hancock St Fl 7, Quincy, MA 02171-1745 | 2018-07-20 |
| Find all providers in QUINCY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.