Provider Demographics
NPI:1740408988
Name:SCHULZE, RENEE LYNNE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:LYNNE
Last Name:SCHULZE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2111 ROUTE 302
Mailing Address - Street 2:
Mailing Address - City:WELLS RIVER
Mailing Address - State:VT
Mailing Address - Zip Code:05081-9738
Mailing Address - Country:US
Mailing Address - Phone:802-757-2222
Mailing Address - Fax:802-866-3012
Practice Address - Street 1:4628 MAIN STREET
Practice Address - Street 2:
Practice Address - City:NEWBURY
Practice Address - State:VT
Practice Address - Zip Code:05051
Practice Address - Country:US
Practice Address - Phone:802-299-7654
Practice Address - Fax:802-866-3012
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089-00009341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1011218Medicaid
NH30426251Medicaid
VT000345001Medicare PIN